N FLA SPORTS MEDICINE AND ORTHOPAEDIC CENTER PA (NPI# 1073652665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073652665 |
| Entity Type | Organization |
| Organization Name | N FLA SPORTS MEDICINE AND ORTHOPAEDIC CENTER PA |
| Practice Address |
1911 Miccosukee Rd Tallahassee FL 32308-5321 |
| Practice Telephone | 8508782549 |
| Practice Fax Number | 8508789334 |
| Mailing Telephone | 8508782549 |
| Mailing Fax Number | 8502129334 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | PETER E LOEB (PRESIDENT) |
| Authorized Official Telephone | 8508782549 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1911 MICCOSUKEE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848445 | Peter E Loeb | Orthopaedic Surgery | 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2005-08-10 |
| 1619336583 | Brittany Lee | Physician Assistant | 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2016-02-19 |
| 1952415267 | Ralph Spencer Stoetzel IIi | Orthopaedic Surgery | 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2006-08-17 |
| 1831109412 | Mark L Marcewicz | Physician Assistant | 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2006-08-08 |
| 1174559041 | Charles C Bianco | Radiology | 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2006-06-23 |
| 1073555728 | Thomas I Lawhorn Jr. | Surgery | 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2006-06-10 |
| 1245272996 | Heidi J Andres | Physician Assistant | 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356753552 | Lattisha Chambers | Specialist | 3125 Sawtooth Dr, Tallahassee, FL 32303-7377 | 2014-05-22 |
| 1972885069 | Mary Geralyn Schaad | Specialist | 1118 Thomasville Rd Ste C, Tallahassee, FL 32303-6282 | 2011-09-14 |
| 1861790875 | Spurgeon Walter Mcwilliams, M.d. P.a. | Specialist | 1620 Riggins Rd, Tallahassee, FL 32308-5316 | 2011-03-01 |
| 1720242134 | Kathleen Knox Yale | Specialist | 4905 Lester Rd, Tallahassee, FL 32317-7129 | 2008-07-15 |
| 1073775847 | Brett A Pace | Specialist | 224 Lafayette Cir, Tallahassee, FL 32303-6216 | 2008-07-02 |
| 1467614511 | Bridget Kellie Burke-wammack | Specialist | 1235 Conservancy Dr E, Tallahassee, FL 32312-6744 | 2008-06-30 |
| 1568640977 | Loriane Robin Geist | Specialist | 304 N Meridian St, Suite 2, Tallahassee, FL 32301-7634 | 2008-02-07 |
| 1538341672 | Jason Barry Owens | Specialist | 226 W 8th Ave, Tallahassee, FL 32303-5505 | 2007-11-30 |
| 1528257482 | Valerie Ayla Fox | Specialist | 1304 E 6th Ave, Suite 5, Tallahassee, FL 32303-6506 | 2007-10-17 |
| 1053502070 | Barbara H Riche' | Specialist | 228 Lafayette Cir, Tallahassee, FL 32303-6216 | 2007-08-06 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on N FLA SPORTS MEDICINE AND ORTHOPAEDIC CENTER PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.