ORLANDO PHYSICIAN SPECIALISTS LLC (NPI# 1417295858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417295858 |
| Entity Type | Organization |
| Organization Name | ORLANDO PHYSICIAN SPECIALISTS LLC |
| Practice Address |
1361 Citrus Tower Blvd Clermont FL 34711-1924 |
| Mailing Address |
3599 University Blvd S Suite 805 Jacksonville FL 32216-4252 |
| Practice Telephone | 4074784920 |
| Practice Fax Number | 4074784921 |
| Mailing Telephone | 9043098680 |
| Mailing Fax Number | 9043455841 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | SHYAM B PARYANI (DIRECTOR) |
| Authorized Official Telephone | 9043098680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 0027J | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467721019 | Orlando Physician Specialists LLC | Internal Medicine | 7436 Docs Grove Cir, Orlando, FL 32819-8010 | 2011-12-27 |
| 1023567229 | Orlando Physician Specialists LLC | Urology | 2250 Bedford Rd, Orlando, FL 32803-1443 | 2016-09-28 |
| 1750830956 | Orlando Physician Specialists LLC | Urology | 5579 S Orange Ave, Edgewood, FL 32809-3493 | 2016-09-28 |
| 1144773706 | Orlando Physician Specialists LLC | Internal Medicine | 830 29th St, Orlando, FL 32805-6219 | 2016-08-01 |
| 1932652591 | Orlando Physician Specialists LLC | Internal Medicine | 2250 Bedford Rd, Orlando, FL 32803-1443 | 2016-08-01 |
| 1487107942 | Orlando Physician Specialists LLC | Internal Medicine | 5579 S Orange Ave, Edgewood, FL 32809-3493 | 2016-08-01 |
| 1497196083 | Orlando Physician Specialists LLC | Radiology | 3599 University Blvd S, Suite 805, Jacksonville, FL 32216-4252 | 2013-07-11 |
| 1134566813 | Orlando Physician Specialists LLC | Internal Medicine | 7252 Narcoossee Rd, Suite 104, Orlando, FL 32822-5550 | 2013-06-04 |
| 1902243868 | Orlando Physician Specialists LLC | Urology | 235 Citrus Tower Blvd, Suite 102, Clermont, FL 34711-2712 | 2013-05-31 |
| 1932440088 | Orlando Physician Specialists LLC | Surgery | 10000 W Colonial Dr, Suite 288, Ocoee, FL 34761-3400 | 2013-03-13 |
| Street Address |
1361 CITRUS TOWER BLVD |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209950 | Gopal R. Kunta | Internal Medicine | 1361 Citrus Tower Blvd, Suite 202, Clermont, FL 34711-1924 | 2005-10-14 |
| 1225411812 | Clermont Cancer Center, LLC | Radiology | 1361 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1924 | 2015-07-01 |
| 1851701239 | Clermont Oncology Center LLC | Internal Medicine | 1361 Citrus Tower Blvd, Suite 202, Clermont, FL 34711-1924 | 2014-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639468283 | Florida Institute of Research, Medicine, and Surgery, P.a. | Internal Medicine | 1804 Oakley Seaver Drive, Suite F, Clermont, FL 34711-1925 | 2011-04-05 |
| 1043209950 | Gopal R. Kunta | Internal Medicine | 1361 Citrus Tower Blvd, Suite 202, Clermont, FL 34711-1924 | 2005-10-14 |
| 1851701239 | Clermont Oncology Center LLC | Internal Medicine | 1361 Citrus Tower Blvd, Suite 202, Clermont, FL 34711-1924 | 2014-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
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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.