NEW DIRECTIONS OF CENTRAL FLORIDA, LLC (NPI# 1104059005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104059005 |
Entity Type | Organization |
Organization Name | NEW DIRECTIONS OF CENTRAL FLORIDA, LLC |
Practice Address |
9425 Se Highway 42 Summerfield FL 34491-6405 |
Practice Telephone | 3523476282 |
Practice Fax Number | 3523476876 |
Mailing Telephone | 3523476282 |
Mailing Fax Number | 3523476876 |
Enumeration Date | 2009-08-26 |
Last Update Date | 2009-08-26 |
Authorized Official Name | DR. SCOTT EVAN SPAGNOLO-HYE (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3523476272 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS10552 | FL | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | OS10552 | FL | Allopathic & Osteopathic Physicians |
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OS10552 | FL | Allopathic & Osteopathic Physicians |
Street Address |
9425 SE HIGHWAY 42 |
City | SUMMERFIELD |
State | FL |
Zip Code | 34491-6405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295196236 | Perspectives II | Clinic/Center | 9425 Se Highway 42, Summerfield, FL 34491-6405 | 2016-03-18 |
1548491038 | Perspectives II LLC | Clinic/Center | 9425 Se Highway 42, Summerfield, FL 34491-6405 | 2009-07-31 |
1043460421 | Serenity of Central Florida Pa | Community/Behavioral Health | 9425 Se Highway 42, Summerfield, FL 34491-6405 | 2008-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194282947 | Marlen D Ohair | Religious Nonmedical Nursing Personnel | 3424 Se 14th Pl, Summerfield, FL 34491 | 2019-02-28 |
1992262851 | Arms of Jesus | Adult Companion | 3424 Se 146th Pl, Summerfield, FL 34491 | 2019-02-27 |
1396230504 | Ashley Ellis Davis | Nurse Practitioner | 17823 Se 109th Ave, Suite 108, Summerfield, FL 34491 | 2018-06-29 |
1215429220 | Redeemed Hearts Inc | In Home Supportive Care | 14380 Se 61 Ave, Summerfield, FL 34491 | 2018-06-05 |
1336649649 | Michelle Wojciechowski | Nurse Practitioner | 15061 Se 103rd Ave, Summerfield, FL 34491 | 2018-02-14 |
1710406228 | Sasha Saidi | Pain Medicine | 16810 South Highway 441, Suite 502, Summerfield, FL 34491 | 2017-09-15 |
1598282915 | Acupuncture Wellness LLC | Acupuncturist | 15151 S. Hwy 441, Suite 100, Summerfield, FL 34491 | 2017-08-25 |
1699137489 | Lindsey Mckay | Registered Nurse | 14510 Se 91 St Terrace, Summerfield, FL 34491 | 2016-03-22 |
1295114791 | Michael Anthony Shamat | Chiropractor | 15151 Hwy 441, Summerfield, FL 34491 | 2015-05-29 |
1952711038 | John Wiley | Occupational Therapist | 15600 S. U.S. Hwy 441, B, Summerfield, FL 34491 | 2014-04-29 |
Find all providers in zip 34491 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649895095 | Bdmj Holdings | Family Medicine | 2150 Lake Ida Rd Ste 2, Delray Beach, FL 33445-2443 | 2020-06-11 |
1932730942 | Freeport Medical Associates | Family Medicine | 17256 Main St N Ste 1, Blountstown, FL 32424-1775 | 2020-01-29 |
1649822867 | Medical Partners of The Palm Beaches | Family Medicine | 2600 Quantum Blvd Bldg A, Boynton Beach, FL 33426-8627 | 2019-07-09 |
1780247064 | Pinnacle Rehabilitation Group | Family Medicine | 1680 Se Lyngate Dr Ste 204, Port Saint Lucie, FL 34952-4300 | 2019-04-22 |
1518441252 | Solstice Health and Wellness, LLC | Family Medicine | 1219 S East Ave South, Suite C204, Sarasota, FL 34239-2340 | 2018-09-19 |
1063956761 | Inspirations Recovery Center, LLC | Family Medicine | 5208 10th Ave N, Greenacres, FL 33463-2053 | 2016-12-14 |
1003365800 | Family First | Family Medicine | 5220 Hood Road, Suite 100, Palm Beach Gardens, FL 33418-8910 | 2016-09-22 |
1396290409 | Aquarius Physicians Group | Family Medicine | 749 Us Highway 1, Suite 210, North Palm Beach, FL 33408-4400 | 2016-08-18 |
1861823452 | Parthenon Behavioral Center | Family Medicine | 5101 Bowden Road, Jacksonville, FL 32216 | 2013-12-06 |
1457697278 | South Walton Medical Group | Family Medicine | 10065 Us Highway 98 W Ste B101, Miramar Beach, FL 32550-1902 | 2012-12-26 |
Find all providers with the same taxonomy |
City | SUMMERFIELD |
Zip Code | 34491 |
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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.