GOOD SHEPHERD PRIMARY CARE, P.A. (NPI# 1306048343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306048343 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD PRIMARY CARE, P.A. |
| Practice Address |
1170 S Semoran Blvd Suite D Orlando FL 32807-1458 |
| Practice Telephone | 4072824142 |
| Practice Fax Number | 4072827475 |
| Mailing Telephone | 4072824142 |
| Mailing Fax Number | 4072827475 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | DR. MARIBEL AVILES (PRESIDENT) |
| Authorized Official Telephone | 4072824142 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME0066465 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1170 S SEMORAN BLVD SUITE D |
| City | ORLANDO |
| State | FL |
| Zip Code | 32807-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609803832 | Alberto Rivera Sanchez | Physical Medicine & Rehabilitation | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2006-06-26 |
| 1790231694 | Juan Carlos Estrada | Nurse Practitioner | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2016-08-30 |
| 1770954679 | Henrice Nolan | Nurse Practitioner | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2015-10-18 |
| 1699188011 | Tatyana Stepanenko | Physical Medicine & Rehabilitation | 1170 S Semoran Blvd, Orlando, FL 32807 | 2014-06-03 |
| 1144649823 | Florida Pain & Rehabilitation Institute Inc | Pain Medicine | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2014-04-10 |
| 1689806572 | Jasmin Grisel Castillo | Physician Assistant | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2009-08-11 |
| 1346494598 | Rhondevia La Rae Holmes | Student in an Organized Health Care Education/Training Program | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2008-11-13 |
| 1760648273 | Advanced Interventional Pain Clinic LLC | Pain Medicine | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2008-08-04 |
| 1780851543 | Nam-kha Pham | Pain Medicine | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2008-05-12 |
| 1528257524 | Cesar Augusto Lassalle-nieves | Anesthesiology | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2007-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668037 | Javier Urshela | Rehabilitation Counselor | 1150 S Semoran Blvd Suite A, Orlando, FL 32807 | 2019-06-20 |
| 1326602087 | Darnell Maurice Avent | Counselor | 7835 Pine Crossing Circle, Apt: 1038, Orlando, FL 32807 | 2019-04-29 |
| 1689185233 | Janea Mark | Technician/Technologist | 2242 Gator Drive, 326, Orlando, FL 32807 | 2017-10-22 |
| 1659813863 | Yaritza Joan Mattei Collado | Speech-Language Pathologist | 1136 Farwell, Orlando, FL 32807 | 2016-11-07 |
| 1316495815 | Grimarie Fernandez | Counselor | 1601 N. Goldenrod Rd. Suite 2, A Great Life, Inc, Orlando, FL 32807 | 2016-09-14 |
| 1922473958 | Adam Brett Lowery | Counselor | 1400 Semoran Blvd, Orlando, FL 32807 | 2015-12-02 |
| 1396115093 | Peterson Jean-baptiste | Counselor | 7835 Pine Crossing Circle, Apt. 1027, Orlando, FL 32807 | 2015-10-07 |
| 1396121380 | Sonia Vega | Case Management | 1601 N. Goldenrod Rd., Orlando, FL 32807 | 2015-08-03 |
| 1386036069 | Guidewell Emergency Medicine Doctors | Clinic/Center | 1706 N Semoran Blvd, Orlando, FL 32807 | 2015-03-04 |
| 1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
| Find all providers in zip 32807 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484336 | Rw Family Practice & Preventive Care, LLC. | Family Medicine | 6735 Conroy Rd Ste 418, Orlando, FL 32835-3566 | 2020-07-20 |
| 1750906855 | Ashleigh Kittel | Family Medicine | 646 W Smith St Unit 506, Orlando, FL 32804-5383 | 2020-06-15 |
| 1962031633 | Annuel Lebrun | Family Medicine | 5317 Curry Ford Rd Apt K202, Orlando, FL 32812-7209 | 2020-04-05 |
| 1427699610 | Orlando Wellness | Family Medicine | 2909 N Orange Ave Ste 112a, Orlando, FL 32804-4639 | 2019-09-30 |
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1649820267 | Florida Advanced Primary, Urgent & Holistic Medicine LLC | Family Medicine | 8931 Heritage Bay Cir, Orlando, FL 32836-5026 | 2019-09-16 |
| 1023664968 | Vera Lee Ahmad | Family Medicine | 18731 Sabal St, Orlando, FL 32833-5268 | 2019-08-15 |
| 1457912081 | Adventist Health System/sunbelt, Inc. | Family Medicine | 9637 Lake Nona Village Pl, Orlando, FL 32827-7319 | 2019-06-25 |
| 1639737273 | Adedeji A Onitiri | Family Medicine | 11750 E Colonial Dr Ste 100, Orlando, FL 32817-4656 | 2019-05-29 |
| 1962068783 | Health & Wellness Place | Family Medicine | 7363 W Colonial Dr, Orlando, FL 32818-6507 | 2019-05-16 |
| 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.