UNDERGROUND FITNESS 2, LLC (NPI# 1154664654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154664654 |
| Entity Type | Organization |
| Organization Name | UNDERGROUND FITNESS 2, LLC |
| Practice Address |
1137 Lake Underhill Road Suite 600 Orlando FL 32825 |
| Mailing Address |
Po Box 7811973 Orlando FL 32878-1973 |
| Practice Telephone | 4074636940 |
| Mailing Telephone | 4074636940 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | MR. JONATHAN BERGERON (MANAGING MEMBER) |
| Authorized Official Telephone | 4074636940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
1137 LAKE UNDERHILL ROAD SUITE 600 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
| 1982890190 | Orlando Nephrology & Hypertension, Pa | Internal Medicine | 60 Columbia St, Suite B, Orlando, FL 32806-1126 | 2007-09-20 |
| 1134320500 | Hasan Shahab | Internal Medicine | 10960 Dylan Loren Cir, Orlando, FL 32825-4439 | 2007-05-31 |
| 1669518320 | Ayad Shukur | Internal Medicine | 2200 N Alafaya Trl, Suite 600, Orlando, FL 32826-3993 | 2007-01-29 |
| 1689734311 | Thomas Crawford Marbury | Internal Medicine | 5055 S Orange Ave, Orlando, FL 32809-3017 | 2006-12-11 |
| 1649383324 | Pran M Kar | Internal Medicine | 514 Columbia St, Suite # 2, Orlando, FL 32805-3870 | 2006-08-16 |
| 1679598700 | Julio Guillermo Moros-ruano | Internal Medicine | 100 S. Semoran Blvd., Orlando, FL 32807 | 2006-07-12 |
| 1205869658 | Abdo Raymond Asmar | Internal Medicine | 9975 Tavistock Lakes Blvd Ste 160, Orlando, FL 32827-7665 | 2006-07-09 |
| 1770583528 | Internal Medicine Specialists, Pa | Internal Medicine | 3885 Oakwater Cir, Orlando, FL 32806-6257 | 2005-07-22 |
| 1144686585 | Nephrology Partners of Central Florida LLC | Internal Medicine | 10960 Dylan Loren Cir, Orlando, FL 32825-4439 | 2016-01-14 |
| 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.