CHILDREN AND TEEN ORTHO GROUP OF FLORIDA (NPI# 1164881835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164881835 |
| Entity Type | Organization |
| Organization Name | CHILDREN AND TEEN ORTHO GROUP OF FLORIDA |
| Practice Address |
3885 S Florida Ave Lakeland FL 33813 |
| Mailing Address |
225 Imperial Blvd Lakeland FL 33803-4612 |
| Practice Telephone | 6383330397 |
| Mailing Telephone | 8636177274 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | BRIAN SMITH (CFO) |
| Authorized Official Telephone | 7702315348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6606 Forest Ave, New Port Richey, FL 346532611 | 7272288615 | |
| 5456 Spring Hill Dr, Spring Hill, FL 346064559 | 3523984927 | |
| 2707 Tampa Rd, Palm Harbor, FL 346843312 | 7272288590 | |
| 5120 Us Highway 19, New Port Richey, FL 346523942 | 7274782160 |
| Street Address |
3885 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825361 | Optimum Therapy Inc | Physical Therapist | 3885 S Florida Ave, Lakeland, FL 33813-1109 | 2005-10-20 |
| 1477866804 | Romeo A Tagala Md Pa | General Practice | 3885 S Florida Ave, Lakeland, FL 33813-1109 | 2010-07-14 |
| 1821195058 | Victoria Rabe-tagala, M.d., P.a. | Physical Medicine & Rehabilitation | 3885 S Florida Ave, Lakeland, FL 33813-1109 | 2006-09-20 |
| 1154337590 | Optimum Therapy | Occupational Therapist | 3885 S Florida Ave, Lakeland, FL 33813-1109 | 2006-07-31 |
| 1952387425 | Lilian Jose Pagkaliwangan | Physical Therapist | 3885 S Florida Ave, Lakeland, FL 33813-1109 | 2005-12-16 |
| 1558342170 | Victoria M Rabe-tagala | Physical Medicine & Rehabilitation | 3885 S Florida Ave, Lakeland, FL 33813-1109 | 2005-11-10 |
| 1992795587 | Romeo Adano Tagala | General Practice | 3885 S Florida Ave, Lakeland, FL 33813-1109 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411857 | Imagine Orthodontic Studio Pllc | Dentist | 3595 S Florida Ave, Lakeland, FL 33803-4860 | 2020-03-10 |
| 1063618759 | Keith Hilliard Dmd Pa | Dentist | 330 E Highland Drive, Lakeland, FL 33813-1727 | 2007-06-21 |
| 1891830071 | Alan D Shoopak Dmd Orthodontic Group Vii LLC | Dentist | 4740 Cleveland Heights Blvd, Suite 4, Lakeland, FL 33813-2187 | 2007-02-21 |
| 1477029031 | Jonathan Scott | Dentist | 5110 S Lakeland Dr, Lakeland, FL 33813-2500 | 2018-10-22 |
| 1922378785 | Andrew Dietrich | Dentist | 330 E Highland Dr, Lakeland, FL 33813-1727 | 2012-01-10 |
| 1235346149 | Jorge Parajon, Dds, Ms, Pa | Dentist | 4238 Us Highway 98 N, Lakeland, FL 33809-3819 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1366056848 | Brandon Lee Zipper | Dentist | 901 N Congress Ave Ste 107, Boynton Beach, FL 33426-3316 | 2020-09-02 |
| 1851903298 | Ocoee Dental & Orthodontics, P.a. | Dentist | 2910 Maguire Rd Ste 1005, Ocoee, FL 34761-4742 | 2020-08-18 |
| 1952933541 | Katherine Kapernaros | Dentist | 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 | 2020-02-11 |
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1700421344 | Lindsay A Ringdahl Dmd Ms Pa | Dentist | 85 Weston Rd Unit 102, Weston, FL 33326-1158 | 2019-11-07 |
| 1942844493 | Daniel R Camacho | Dentist | 4330 Sheridan St Ste 201a, Hollywood, FL 33021-1406 | 2019-10-28 |
| 1982247102 | Thebis A. Franceschi | Dentist | 813 Delmar Way Apt 116, Delray Beach, FL 33483-3366 | 2019-10-21 |
| 1730736174 | Integrity Dental, LLC | Dentist | 5100 Tamiami Trl N Ste 201, Naples, FL 34103-2810 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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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.