ADVANCE OBGYN OF CENTRAL FLORIDA (NPI# 1194214684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194214684 |
| Entity Type | Organization |
| Organization Name | ADVANCE OBGYN OF CENTRAL FLORIDA |
| Practice Address |
4170 Town Ctr Blvd Ste 104 Orlando FL 32837 |
| Mailing Address |
6441 S Chickasaw Trl # 216 Orlando FL 32829-8366 |
| Practice Telephone | 4074518443 |
| Mailing Telephone | 4077768410 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | MRS. CHRISTIE GONZALEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 4077768410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME131939 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4170 TOWN CTR BLVD STE 104 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| 1790026722 | Kaitlyn Zipoli Agudelo | Nurse Practitioner | 3000 Hunters Creek Blvd Ste 201, Orlando, FL 32837 | 2013-03-15 |
| Find all providers in zip 32837 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1568914091 | Physician Associates LLC | Obstetrics & Gynecology | 7243 Della Drive, Orlando, FL 32819-9999 | 2016-11-01 |
| 1922454354 | Luis G. Del Pilar Rodriguez | Obstetrics & Gynecology | 4170 W Town Center Blvd Ste 104, Orlando, FL 32837-5875 | 2016-05-04 |
| 1396149258 | Obstetrics and Gynecology Specialists of Central Florida, P.a. | Obstetrics & Gynecology | 930 S Semoran Blvd, Orlando, FL 32807-3005 | 2014-10-21 |
| 1417351743 | Physician Associates LLC | Obstetrics & Gynecology | 9679 Lake Nona Village Place, Suite 101, 103, and 104, Orlando, FL 32827-9999 | 2014-10-15 |
| 1417254178 | Mary Sue Makin | Obstetrics & Gynecology | 5108 Brenda Dr, Orlando, FL 32812-8717 | 2011-02-16 |
| 1750510087 | Orlando Women Center LLC | Obstetrics & Gynecology | 1103 Lucerne Ter, Orlando, FL 32806-1016 | 2009-07-08 |
| 1679719587 | Womens Care Florida LLP | Obstetrics & Gynecology | 24 Sturtevant St, Orlando, FL 32806-2019 | 2008-12-23 |
| 1174775696 | Susanne V Osborne | Obstetrics & Gynecology | 3438 Lawton Rd # 2b, Orlando, FL 32803-2948 | 2008-10-15 |
| 1184881112 | Physician Associates LLC | Obstetrics & Gynecology | 4137 Hunters Park Lane, Orlando, FL 32837 | 2008-05-19 |
| 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.