CENTRAL FLORIDA BREAST CENTER, PA


Address: 2200 Glenwood Dr, Suite 201, Winter Park, FL 32792-3315
Phone: 4077405127

CENTRAL FLORIDA BREAST CENTER, PA (NPI# 1306872767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306872767
Entity Type Organization
Organization Name CENTRAL FLORIDA BREAST CENTER, PA
Practice Address 2200 Glenwood Dr
Suite 201
Winter Park
FL 32792-3315
Practice Telephone 4077405127
Practice Fax Number 4077400827
Mailing Telephone 4077405127
Mailing Fax Number 4077400827
Enumeration Date 2006-06-25
Last Update Date 2008-10-14
Authorized Official Name MR. AZIZ SHAHBUDDIN JASANI (ADMINISTRATOR)
Authorized Official Telephone 4077405127
Authorized Official Credential M.B.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery OS0006978 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL GHI ID # 9587978 01
FL BLUE CROSS BLUE SHIELD ID 57169 01
FL UNITED HEALTHCARE ID 1700176 01
FL AETNA ID # 5339099 01

Office Location

Street Address 2200 GLENWOOD DR
SUITE 201
City WINTER PARK
State FL
Zip Code 32792-3315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437194545 Shenin Madatali Sachedina Surgery 2200 Glenwood Dr, Suite 201, Winter Park, FL 32792-3315 2006-06-20
1326437625 Catherine Cartwright Physician Assistant 2200 Glenwood Dr, #201, Winter Park, FL 32792-3315 2015-01-10
1609274927 Jennifer Joyce Physician Assistant 2200 Glenwood Dr, 201, Winter Park, FL 32792-3315 2014-12-18
1194056531 Nora E Watson Physician Assistant 2200 Glenwood Dr, Winter Park, FL 32792-3315 2010-01-25
1740414952 Gretchen A Daniels Nurse Practitioner 2200 Glenwood Dr, Suite 201, Winter Park, FL 32792-3315 2009-05-04
1083855340 Misty Marie Snyder Nurse Practitioner 2200 Glenwood Dr, 201, Winter Park, FL 32792-3315 2009-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225647589 Interim Personal Care Services, LLC Home Health 1890 State Road 436, Suite 355, Winter Park, FL 32792 2020-07-23
1710510649 Chrisline Badio Clinic/Center 3040 Aloma Ave Apt J12, Winter Park, FL 32792 2020-02-19
1679112411 The Local Health Council of East Central Florida, Inc. Voluntary or Charitable 5931 Brick Court, Suite 164, Winter Park, FL 32792 2019-12-26
1710534201 Robert Scott Hughes Occupational Therapy Assistant 925 South Semoran Blvd, #110a, Winter Park, FL 32792 2019-08-20
1164077962 Dentists of Winter Park, Pa Dentist 1973 Aloma Avenue, Winter Park, FL 32792 2019-08-08
1659938637 Adventist Health System/sunbelt Inc Dba Adventhealth Orlando Pharmacy 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 2019-05-24
1104397801 Jose M Martinez Rivera Chiropractor 471 N Semoran Blvd., Suite B, Orlando, FL 32792 2018-12-07
1750875720 Andrea Nalborczyk Student in an Organized Health Care Education/Training Program 133 Benmore Dr #200, Winter Park, FL 32792 2018-06-21
1841787157 Rd Health Diagnostic LLC Clinical Medical Laboratory 6904 Aloma Ave, Winter Park, FL 32792 2018-04-23
1548763006 Daniel Remington Geer Hearing Instrument Specialist 7007 University Blvd, Winter Park, FL 32792 2018-03-12
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417026303 International Non Selective Business Systems Inc Surgery 4270 Aloma Ave Ste 124, Winter Park, FL 32792-9388 2006-11-07
1750497095 Malcolm Mcdonald Surgery 3009 Aloma Ave, Winter Park, FL 32792-3701 2006-08-21
1437194545 Shenin Madatali Sachedina Surgery 2200 Glenwood Dr, Suite 201, Winter Park, FL 32792-3315 2006-06-20
1841230414 Kamy Rae Kemp Surgery 1925 Mizell Ave Ste 105, Winter Park, FL 32792-4155 2006-06-08
1356389738 Andrew Dobradin Surgery 320 Edinburgh Dr, Suite B, Winter Park, FL 32792-4157 2006-06-04
1467444877 Christopher Olukoga Surgery 242 Loch Lomond Dr, Winter Park, FL 32792-3316 2005-08-22
1558915868 Charles J Koller Md Pa Surgery 2055 Glenwood Dr, Winter Park, FL 32792-3307 2019-07-25
1841583572 Daniel Joseph Galante Surgery 242 Loch Lomond Dr, Winter Park, FL 32792-3316 2011-05-27
1285931303 Frank Geoffrey Toonder Surgery 1890 State Road 436, Suite 319, Winter Park, FL 32792-2228 2011-02-25
1689982183 Charles J Koller Md Pa Surgery 2055 Glenwood Dr, Winter Park, FL 32792-3307 2010-09-17
Find all providers in WINTER PARK

Competitor

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City WINTER PARK
Zip Code 32792

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Dataset Information

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.

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