CARRASQUERO PEDIATRICS AND ASSOCIATES (NPI# 1134478605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134478605 |
| Entity Type | Organization |
| Organization Name | CARRASQUERO PEDIATRICS AND ASSOCIATES |
| Other Organization Name | WEKIVA SPRINGS PEDIATRICS |
| Practice Address |
407 Wekiva Springs Road Suite 110 Longwood FL 32779 |
| Practice Telephone | 4077907998 |
| Practice Fax Number | 4079518821 |
| Mailing Telephone | 4077907998 |
| Mailing Fax Number | 4079518821 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | DR. LUISA CARRASQUERO (MD) |
| Authorized Official Telephone | 4077907998 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME99334 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 279635000 | 05 |
| Other Name | Type Code |
|---|---|
| Wekiva Springs Pediatrics | Doing Business As Name - Organization |
| Street Address |
407 WEKIVA SPRINGS ROAD SUITE 110 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| 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 |
|---|---|---|---|---|
| 1588060958 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2933 W State Road 434, Ste 101, Longwood, FL 32779-4457 | 2014-11-13 |
| 1316245483 | Esther Garay | Specialist | 245 South Ronald Reagan Blvd., Longwood, FL 32750 | 2011-03-14 |
| 1821396847 | Stephanie Victoria Vales | Specialist | 206 Charles Street, Longwood, FL 32750-5402 | 2011-03-01 |
| 1316173255 | Angela Kristine Harlow | Specialist | 245 S Ronald Reagan Blvd, Longwood, FL 32750-5402 | 2009-06-05 |
| 1366645228 | Marisa L Burkhart | Specialist | 285 W Pine Ave, Longwood, FL 32750-4138 | 2007-06-07 |
| 1154530400 | William Donnell Heath | Specialist | 130 Stone Post Rd, Longwood, FL 32779-2745 | 2007-05-22 |
| 1093932006 | Leisa Youel | Specialist | 1005 Lake Front Ln, Longwood, FL 32779-4827 | 2007-04-19 |
| 1427179985 | Lorie Schultz Barber | Specialist | 918 Woodgate Trl, Longwood, FL 32750-2989 | 2007-04-03 |
| 1275696437 | Elias C Jacobo | Specialist | 515 West Sr 434 Suite 302, Longwood, FL 32750-3275 | 2006-12-19 |
| 1295734309 | Olen A Giles | Specialist | 515 W State Road 434, Suite 110a, Longwood, FL 32750-4981 | 2005-07-20 |
| Find all providers in LONGWOOD | ||||
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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.