ORANGE AVENUE DENTISTRY, INC. (NPI# 1215200084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215200084 |
| Entity Type | Organization |
| Organization Name | ORANGE AVENUE DENTISTRY, INC. |
| Practice Address |
2116 S. Orange Ave. Orlando FL 32806 |
| Mailing Address |
2116 S Orange Ave Orlando FL 32806-3037 |
| Practice Telephone | 4074269933 |
| Practice Fax Number | 4074269032 |
| Mailing Telephone | 4074269933 |
| Mailing Fax Number | 4074269032 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | DR. NABIL NAGUIB YOUSSEF JR. (OWNER/DENTIST) |
| Authorized Official Telephone | 4074269933 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | DN16092 | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003787800 | 05 |
| Street Address |
2116 S. ORANGE AVE. |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1205244522 | Rae Daniel | Preferred Provider Organization | 5621 Lake Mary Jess Shores Ct, Orlando, FL 32839-2992 | 2014-07-30 |
| 1982946943 | Live Well Medical Centers LLC | Preferred Provider Organization | 6001 Vineland Rd., Suite 117, Orlando, FL 32819 | 2013-03-18 |
| 1477892263 | Gencare Resources, LLC | Preferred Provider Organization | 1853 Westpointe Cir, Orlando, FL 32835-8181 | 2013-02-14 |
| 1477898575 | Pact of Faith, Inc | Preferred Provider Organization | 5817 Dahlia Dr, Orlando, FL 32807-3238 | 2012-11-30 |
| 1952681785 | Gold Princess Med Services Inc | Preferred Provider Organization | 2860 Stanfield Ave, Orlando, FL 32814-6775 | 2011-08-24 |
| 1508216789 | Mso of Florida, Inc | Preferred Provider Organization | 1111 S Semoran Blvd, Suite B, Orlando, FL 32807-1480 | 2016-06-17 |
| 1902214018 | Sabrena's Retirement Resort Inc. 4 | Preferred Provider Organization | 7000 Hiawassee Oak Dr, Orlando, FL 32818-8354 | 2014-08-01 |
| 1467860551 | Sabrena's Retirement Resort Inc. 1 | Preferred Provider Organization | 2325 N Hastings St, Orlando, FL 32808-4818 | 2014-08-01 |
| 1679981724 | Sabrena's Retirement Resort Inc. 2 | Preferred Provider Organization | 2528 Woodhaven Ct, Orlando, FL 32818-8901 | 2014-07-31 |
| 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.