PREMIER SPECIALISTS OF FLORIDA LLC (NPI# 1093297269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093297269 |
| Entity Type | Organization |
| Organization Name | PREMIER SPECIALISTS OF FLORIDA LLC |
| Other Organization Name | PREMIER SPECIALISTS OF FLORIDA |
| Practice Address |
7727 Lake Underhill Rd Orlando FL 32822-8224 |
| Mailing Address |
10179 Ridgebloom Ave Orlando FL 32829-7722 |
| Practice Telephone | 4074403004 |
| Practice Fax Number | 4074293899 |
| Mailing Telephone | 4074403004 |
| Mailing Fax Number | 4074293899 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | DR. NAVAID SIDDIQI (OWNER) |
| Authorized Official Telephone | 4074403004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Premier Specialists of Florida | Doing Business As Name - Organization |
| Street Address |
7727 LAKE UNDERHILL RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32822-8224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473122 | Birdie M. Varnedore | Psychiatry & Neurology | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2006-03-29 |
| 1982228052 | James Leal | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-06-03 |
| 1326669581 | Quoc Vinh Tran | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-04-29 |
| 1174142236 | Crystal Lynn Browne | Psychiatry & Neurology | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-04-09 |
| 1275162521 | Stephanie Lauren Golding | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-04-07 |
| 1538797691 | David Chang | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-04-01 |
| 1265069652 | Shirin Mobeen | Nurse Practitioner | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2020-03-25 |
| 1205470036 | Xinqiang Liu | Registered Nurse | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2019-11-05 |
| 1043852593 | Kira Elana Peterman-diaz | Registered Nurse | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2019-10-16 |
| 1962060426 | Joseph Ryan Ray | Student in an Organized Health Care Education/Training Program | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697335 | Julie C Figaro | Physical Therapy Assistant | 7209 Curry Ford Ste E, Orlando, FL 32822 | 2020-10-26 |
| 1912411240 | Advanced Mobility of Central Florida Corp | Durable Medical Equipment & Medical Supplies | 5844 S. Semoran Blvd., Orlando, FL 32822 | 2017-11-22 |
| 1467965434 | Ashley Morgan Mcglashen | Behavior Technician | 5773 Gatlin Ave, Orlando, FL 32822 | 2017-11-13 |
| 1801315312 | Ashleigh Boyle | Counselor | 5768 S. Semoran Blvd, Orlando, FL 32822 | 2017-09-15 |
| 1528584943 | Carlos Mario Davila Sr. | Psychologist | 7113 Lakner Way, Orlando, FL 32822 | 2017-08-17 |
| 1760922876 | Guardians of Care, LLC | Family Medicine | 733 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2017-03-08 |
| 1457808529 | Rachel Richardson | Counselor | 5758 S. Seminole Blvd., Orlando, FL 32822 | 2016-09-07 |
| 1215392154 | Teresita Henao | Nurse Practitioner | 900 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2015-12-18 |
| 1407221831 | Jennifer Castro | Psychologist | 4153 S Semoran, Unit 10, Orlando, FL 32822 | 2015-12-10 |
| 1821466616 | Miguel Yanes Delgado | Nurse Practitioner | 5564 East Grant St, Orlando, FL 32822 | 2015-09-10 |
| Find all providers in zip 32822 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437425691 | Vanaja Vijaya Ragavan | Internal Medicine | 12502 Lake Mary Jane Rd, Orlando, FL 32832 | 2012-03-31 |
| 1497988927 | Steven Richard Smith | Internal Medicine | 301 E. Princeston St., Orlando, FL 32804-5546 | 2009-09-01 |
| 1104911452 | Rita Y Rahbany | Internal Medicine | 9166 University Blvd, Orlando, FL 32817-1709 | 2006-10-04 |
| 1295849552 | Tina Kaur Thethi | Internal Medicine | 2415 N Orange Ave Ste 502, Orlando, FL 32804-5503 | 2006-08-17 |
| 1679517171 | Samuel E Crockett | Internal Medicine | 2520 N Orange Ave, Suite 102, Orlando, FL 32804-4638 | 2006-06-15 |
| 1316996325 | Diabetes & Endocrine Center of Orlando, P.a. | Internal Medicine | 3113 Lawton Rd, Suite 100, Orlando, FL 32803-3531 | 2006-05-08 |
| 1558327973 | Sowmya K Suryanarayanan | Internal Medicine | 9975 Tavistock Lakes Blvd Ste 300, Orlando, FL 32827-7665 | 2006-04-25 |
| 1083683106 | Edwin N Lee | Internal Medicine | 7009 Dr Phillips Blvd, Suite 150, Orlando, FL 32819-5123 | 2006-03-14 |
| 1366415978 | Orlando Diabetes and Endocrine Specialists | Internal Medicine | 6150 Metrowest Blvd, Suite 105, Orlando, FL 32835-3290 | 2006-02-13 |
| 1871598128 | Henry Jackson Baskin Sr. | Internal Medicine | 2921 N Orange Ave, Orlando, FL 32804-4627 | 2005-06-14 |
| 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.