SUN STATE PHYSICIANS SERVICES, LLC (NPI# 1083948392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083948392 |
| Entity Type | Organization |
| Organization Name | SUN STATE PHYSICIANS SERVICES, LLC |
| Practice Address |
Spring Hills At Hunter's Creek Town Center Blvd Orlando FL 32837 |
| Mailing Address |
Po Box 451624 Kissimmee FL 34745-1624 |
| Practice Telephone | 4072518088 |
| Mailing Telephone | 4079281880 |
| Mailing Fax Number | 4072012345 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |
| Authorized Official Name | DR. FELIPE COLLAZO-PAGAN (PRESIDENT) |
| Authorized Official Telephone | 4079285766 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
SPRING HILLS AT HUNTER'S CREEK TOWN CENTER BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| Find all providers in zip 32837 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1407969124 | Gary Donald Miller | Family Medicine | 5151 Adanson St, Suite 200, Orlando, FL 32804-1330 | 2006-08-16 |
| 1699796243 | Mariana Beatriz Dangiolo | Family Medicine | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7664 | 2006-07-21 |
| 1639106578 | Zeini Medical Group Pa | Family Medicine | 1817 Crescent Blvd, Orlando, FL 32817-4614 | 2006-06-27 |
| 1932186137 | Mark A. Bobek M.d., Pa | Family Medicine | 713 Cedarwood Ct, Orlando, FL 32828-8144 | 2005-12-28 |
| 1427031707 | Israel I Caro | Family Medicine | 11317 Lake Underhill Rd Ste 100, Orlando, FL 32825-4452 | 2005-11-21 |
| 1982603056 | Susan Joy Drukman | Family Medicine | 11325 Lake Underhill Rd, Suite 101, Orlando, FL 32825-5090 | 2005-07-20 |
| 1114336740 | Physician Next Door, LLC | Family Medicine | 1834 N Alafaya Trl, Suite C, Orlando, FL 32826-4743 | 2014-08-07 |
| 1669813135 | Little Angel Silver Star LLC | Family Medicine | 4614 S Kirkman Rd, Orlando, FL 32811-2891 | 2013-07-12 |
| 1104066216 | University of Central Florida | Family Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817 | 2009-03-02 |
| Find all providers in ORLANDO | ||||
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| 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.