DR. GUSEV GONZALEZ CAMPBELL (NPI# 1104194463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104194463 |
| Entity Type | Individual |
| Full Name | DR. GUSEV GONZALEZ CAMPBELL |
| Credential | MD |
| Practice Address |
339 Cypress Pkwy Ste 100 Kissimmee FL 34759-3315 |
| Mailing Address |
10051 5th St N Ste 200 St Petersburg FL 33702-2211 |
| Practice Telephone | 4073433333 |
| Practice Fax Number | 4073438888 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 7275686011 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME 118595 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 013793700 | 05 |
| Street Address |
339 CYPRESS PKWY STE 100 |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34759-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518992288 | Annita E Garcia | Physician Assistant | 339 Cypress Pkwy Ste 100, Kissimmee, FL 34759-3315 | 2006-07-11 |
| 1518317148 | Mayssara Jubori | Internal Medicine | 339 Cypress Pkwy Ste 100, Kissimmee, FL 34759-3315 | 2016-06-14 |
| 1083628192 | Hernan A. Gomez | Internal Medicine | 339 Cypress Pkwy Ste 100, Kissimmee, FL 34759-3315 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671767 | Touched By Harmony Home Care, LLC | Chore Provider | 1152 Hudson Harbor Ln, Kissimmee, FL 34759 | 2020-05-21 |
| 1588132211 | Enante Napoleon | Clinic/Center | 1406 Swan Court, Kissimmee, FL 34759 | 2018-11-12 |
| 1366938383 | Diana Esther Baker Velez | Case Manager/Care Coordinator | 2202 Rio Grande Canyon Loop, Kissimmee, FL 34759 | 2018-07-02 |
| 1558863530 | Cladyana Martinez Couvertier | Specialist/Technologist | 316 Edgewood Ct, Kissimmee, FL 34759 | 2018-03-06 |
| 1609397330 | Michelle Echevarria | Counselor | 1413 Kissimme Dr, Kissimmee, FL 34759 | 2017-07-03 |
| 1326599549 | Sheila Ramos | Social Worker | 335 Drum Court, Kissimmee, FL 34759 | 2016-10-24 |
| 1790155976 | Yajaira Rivera | Counselor | 1908 Huron Terrace, Poinciana, FL 34759 | 2015-10-01 |
| 1508280371 | Teamwork International Corp | Family Medicine | 1082 Cypress Parkway, Kissimmee, FL 34759 | 2014-02-13 |
| 1922433077 | Pearl Ann Arrita Shiwram | Technician, Pathology | 703 Antelope Way, Kissimmee, FL 34759 | 2013-09-09 |
| 1609215912 | Nosky P.a. | Dermatology | 512 Cypress Parkway, Poinciana, FL 34759 | 2013-06-19 |
| Find all providers in zip 34759 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835473 | Adventist Health System Sunbelt, Inc | Family Medicine | 2488 E Irlo Bronson Memorial Hwy Ste 204, Kissimmee, FL 34744-4908 | 2020-06-11 |
| 1386268993 | Florida Advanced Medicine LLC | Family Medicine | 2522 Oak Run Blvd, Kissimmee, FL 34744-3017 | 2020-05-31 |
| 1053932202 | Willka Vanessa Parra | Family Medicine | 1997 Willow Wood Dr # De, Kissimmee, FL 34746-3780 | 2020-04-29 |
| 1053932350 | Mariana Carolina Diaz | Family Medicine | 3141 Pine Branch Dr Apt 103, Kissimmee, FL 34741-3501 | 2020-04-28 |
| 1124649561 | Scarlet Benilde Gonzalez | Family Medicine | 4319 Creeks Run Blvd, Kissimmee, FL 34746-2314 | 2020-04-27 |
| 1952872061 | Olga Lorena Seoanes | Family Medicine | 2068 E Osceola Pkwy, Kissimmee, FL 34743-8602 | 2018-12-16 |
| 1457822066 | Surujdai Pooransingh | Family Medicine | 354 Aylesbury Ct, Kissimmee, FL 34758-4298 | 2018-12-07 |
| 1174011571 | Summit Health Family Practice LLC | Family Medicine | 507 Berry James Ct, Kissimmee, FL 34744-8514 | 2018-05-01 |
| 1932613882 | Mi Doctor LLC | Family Medicine | 4611 Cumbrian Lakes Dr, Kissimmee, FL 34746-6717 | 2017-11-29 |
| 1013360395 | Derly Jean-noel | Family Medicine | 3380 Wilderness Trl, Kissimmee, FL 34746-2926 | 2016-07-21 |
| Find all providers in KISSIMMEE | ||||
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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.