PABLO MANARONSONG LOMANGCOLOB JR. (NPI# 1215351606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215351606 |
Entity Type | Individual |
Full Name | PABLO MANARONSONG LOMANGCOLOB JR. |
Credential | M.D., M.P.H. |
Practice Address |
7765 S County Road 231 Lake Butler FL 32054-0628 |
Mailing Address |
P.o. Box 628 7765 S County Road 231 Lake Butler FL 32054-0628 |
Practice Telephone | 3864966344 |
Mailing Telephone | 3864966344 |
Enumeration Date | 2014-02-06 |
Last Update Date | 2014-02-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | ME 37462 | FL | Laboratories |
Street Address |
7765 S COUNTY ROAD 231 |
City | LAKE BUTLER |
State | FL |
Zip Code | 32054-0628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871564781 | Jeffery David Render | Dentist | 7765 S County Road 231, Reception / Medical Center, Lake Butler, FL 32054-5721 | 2006-01-30 |
1295342798 | Karl Hudson Dupont | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2020-09-28 |
1891306213 | Mykhue Ashley Nguyen-tran | Dentist | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2020-08-10 |
1952960015 | Kevin Nantz | Registered Nurse | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2019-06-11 |
1043798697 | Reina Michele Brown | Registered Nurse | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2018-08-04 |
1992203566 | Lisa A. Frazer | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2018-01-29 |
1013427954 | Farida Kazvinova | General Practice | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2017-10-05 |
1043671241 | Cccnf - Lake Butler, LLC | Radiology | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2016-03-15 |
1457771016 | Gerry Surrency | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2014-04-22 |
1043644982 | Marie Josephine Garcon | General Practice | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2013-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740627892 | Nalini Anandjiwala | General Practice | 7765 County Rd 231, Lake Butler, FL 32054 | 2013-05-30 |
1356690721 | Cheryl Anderson | Nurse Practitioner | 850 East Main Street, Lake Butler, FL 32054 | 2012-08-31 |
1891007860 | Lisa Cunningham | Speech-Language Pathologist | 6398 South West State Road 121, Lake Butler, FL 32054 | 2010-07-07 |
1609374131 | Michele Lewis | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2018-01-30 |
1144756735 | Kateena James | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2017-05-03 |
1710380373 | Ashley C Nelson | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2014-09-26 |
1073954046 | Can Trong Tran | General Practice | 7765 County Rd 231, Rmc, Lake Butler, FL 32054 | 2013-07-08 |
1013972272 | Medlink Management Services Inc | General Acute Care Hospital | 850 E Main St, Lake Butler, FL 32054 | 2006-04-19 |
1922105360 | Waldemar Ricardo Riefkohl | Dentist | Reception and Medical Center, Hwy 231, Lake Butler, FL 32054-0628 | 2006-09-20 |
1740653708 | Union Speech Solutions, LLC | Speech-Language Pathologist | 495 Ne 3rd St, Lake Butler, FL 32054-1209 | 2015-11-12 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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City | LAKE BUTLER |
Zip Code | 32054 |
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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.