SEMINOLE NEUROLOGY ASSOCIATES PA (NPI# 1417197393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417197393 |
| Entity Type | Organization |
| Organization Name | SEMINOLE NEUROLOGY ASSOCIATES PA |
| Practice Address |
1403 Medical Plaza Dr Suite 204 Sanford FL 32771-1000 |
| Practice Telephone | 4073245500 |
| Practice Fax Number | 4073245584 |
| Mailing Telephone | 4073245500 |
| Mailing Fax Number | 4073245584 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | MR. BHUPINDER SINGH MANGAT (PRESIDENT) |
| Authorized Official Telephone | 4073245500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME34679 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 371305900 | 05 |
| Street Address |
1403 MEDICAL PLAZA DR SUITE 204 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213234 | Bhupinder S Mangat | Specialist | 1403 Medical Plaza Dr, Ste 204, Sanford, FL 32771-1047 | 2005-05-23 |
| 1164881751 | Matthew Combes | Physician Assistant | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2016-02-11 |
| 1710345723 | Ramon Luis Vega | Chiropractor | 1403 Medical Plaza Dr, Ste 100, Sanford, FL 32771-1000 | 2016-02-04 |
| 1477918415 | The Urology Center | Urology | 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 | 2015-12-17 |
| 1548636830 | Paula Wright | Social Worker | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2015-08-20 |
| 1215270764 | Orlando Mota-aquino | Pediatrics | 1403 Medical Plaza Dr, Suite 104, Sanford, FL 32771-1000 | 2013-04-03 |
| 1427340975 | Active Pain and Injury Inc | Pain Medicine | 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771-1000 | 2011-05-03 |
| 1861636078 | Andrew Craig Skattum | Surgery | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2009-05-01 |
| 1700052214 | Jessica K Shutt | Clinical Nurse Specialist | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2008-05-05 |
| 1609056761 | Mid Florida Physicians Inc | Internal Medicine | 1403 Medical Plaza Dr, Suite 207, Sanford, FL 32771-1000 | 2007-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323852 | Tacitha L Harris | Specialist | 1169 W Airport Blvd, Sanford, FL 32773-4972 | 2018-07-26 |
| 1215399837 | Shannon V Barnes | Specialist | 1205 South Park Avenue, Sanford, FL 32771-2853 | 2016-03-23 |
| 1447553029 | Kimberly Joan Grayson | Specialist | 300 Tammy Dr, Sanford, FL 32771-3669 | 2010-12-21 |
| 1609017359 | Deirdre Marie Raggins | Specialist | 2441 S Elm Ave, Sanford, FL 32771-4443 | 2009-03-10 |
| 1194907378 | Clarence Scott Md,pa | Specialist | 1621 W First Street, Sanford, FL 32772-0907 | 2007-11-29 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1801001201 | Mid Carolina Surgical Clinic Pa | Specialist | 709b Wicker St, Sanford, NC 27330-4142 | 2007-05-11 |
| 1508998675 | Kids House of Seminole, Inc. | Specialist | 5467 County Road 427, Sanford, FL 32773-6332 | 2007-03-12 |
| 1851309652 | S K Joshi | Specialist | 1001 W 1st St, Sanford, FL 32771-1051 | 2006-08-04 |
| 1093721250 | Cancer Care Center of York County | Specialist | 27 Industrial Ave, Sanford, ME 04073-5820 | 2006-07-31 |
| Find all providers in SANFORD | ||||
Please comment or provide details below to improve the information on SEMINOLE NEUROLOGY ASSOCIATES PA.
| 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.