KATHLEEN B ZENDELL (NPI# 1457586547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457586547 |
| Entity Type | Individual |
| Full Name | KATHLEEN B ZENDELL |
| Credential | MD |
| Practice Address |
515 W State Road 434 Suite 210 Longwood FL 32750-4981 |
| Practice Telephone | 4073328080 |
| Mailing Telephone | 4073328080 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2013-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME116471 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
515 W STATE ROAD 434 SUITE 210 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734309 | Olen A Giles | Specialist | 515 W State Road 434, Suite 110a, Longwood, FL 32750-4981 | 2005-07-20 |
| 1326452822 | Advanced Analgesia and Anesthesia, Inc | Pain Medicine | 515 W State Road 434, Suite 110, Longwood, FL 32750-4981 | 2014-06-12 |
| 1669812269 | Neel Vipin Patel | Psychiatry & Neurology | 515 W State Road 434, Longwood, FL 32750-4981 | 2013-06-27 |
| 1750729240 | Roshan K Patel | Family Medicine | 515 W State Road 434, Suite 110, Longwood, FL 32750-4981 | 2013-06-06 |
| 1144528522 | Michael Lee Sampson | Physician Assistant | 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 | 2011-03-08 |
| 1639496565 | Ashley R Vrecenak | Physician Assistant | 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 | 2010-05-03 |
| 1275710758 | Kemka S Ogburia Jr. | Specialist | 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 | 2008-01-27 |
| 1609064195 | Urology Consultants | Specialist | 515 W State Road 434, 302, Longwood, FL 32750-4981 | 2007-10-09 |
| 1063608248 | Susan Toth D.o.p.a. | Family Medicine | 515 W State Road 434, Suite 308, Longwood, FL 32750-4981 | 2007-09-20 |
| 1588794531 | Giles Gastroenterology Center Pa | Specialist | 515 W State Road 434, Suite 110-a, Longwood, FL 32750-4981 | 2007-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902284177 | Melia Hernandez Holt | Dermatology | 515 W State Road 434 Ste 210, Longwood, FL 32750-5162 | 2015-05-08 |
| 1801214721 | Saqib Ahmed | Dermatology | 515 W Sr 434 Ste 210, Longwood, FL 32750-5162 | 2014-03-29 |
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|---|---|---|---|---|
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
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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.