PHYSICAL MEDICINE CENTER OF DEBARY (NPI# 1457650939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457650939 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE CENTER OF DEBARY |
| Other Organization Name | CENTRAL FLORIDA PAIN MANAGEMENT CENTERS, LLC |
| Practice Address |
2955 Enterprise Rd Suite C Debary FL 32713-2711 |
| Practice Telephone | 3866689999 |
| Practice Fax Number | 3866680709 |
| Mailing Telephone | 3866689999 |
| Mailing Fax Number | 3866680709 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2012-05-19 |
| Authorized Official Name | NOEMI MADERA (CREDENTIALING) |
| Authorized Official Telephone | 3866689999 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL FLORIDA PAIN MANAGEMENT CENTERS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME07230 | FL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Central Florida Pain Management Centers, LLC | Doing Business As Name - Organization |
| Street Address |
2955 ENTERPRISE RD SUITE C |
| City | DEBARY |
| State | FL |
| Zip Code | 32713-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063592376 | Kasia Osadzinska | Surgery | 2955 Enterprise Rd, Suite B, Debary, FL 32713-2711 | 2006-10-17 |
| 1629307954 | Central Florida Pain Management Centers LLC | Pain Medicine | 2955 Enterprise Rd, Suite B, Debary, FL 32713-2711 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162766 | Jessica Crystal Daigle | Nurse Practitioner | 620 Spring Vista Dr, Ste 101, Debary, FL 32713 | 2020-07-23 |
| 1407320476 | 1st Call Urgent Care | Emergency Medicine | 173 North C.r. Beall Blvd., Suite 106, Debbary, FL 32713 | 2019-01-14 |
| 1073029294 | Ryan Patrick Mcneel | Chiropractor | 100 Pond Court, #103, Debary, FL 32713 | 2017-12-26 |
| 1528589249 | Jennifer Ellen Schaich | Technician, Pathology | 223 Bayou Vista St, Debary, FL 32713 | 2017-07-03 |
| 1083090807 | Home Modification Design, LLC | Home Health | 17 Pleasant Hill Drive, Debary, FL 32713 | 2015-08-04 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1811255680 | Dana Louise Cannon | Massage Therapist | 17 Canter Club Court, Debary, FL 32713 | 2012-04-30 |
| 1811265127 | Orly Tyrkala | Pharmacist | 15 N Highway 1792, Debary, FL 32713 | 2011-12-01 |
| 1225331226 | Teresa Miller | Massage Therapist | 430 Summerhaven Drive, 300, Debary, FL 32713 | 2010-12-13 |
| 1043522857 | Amanda Ellen Lang | Behavioral Analyst | 454 Fort Florida Rd, Debary, FL 32713 | 2010-07-08 |
| Find all providers in zip 32713 | ||||
| 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 |
|---|---|---|---|---|
| 1689748345 | Deepak Tikku | Specialist | 2808 Enterprise Rd, Suite 104, Debary, FL 32713-2753 | 2006-11-17 |
| 1912392259 | Integrative Physical Medicine of Debary, LLC | Specialist | 110 Pond Court, Suite 300, Debary, FL 32713 | 2015-04-03 |
| 1992088009 | Neurology Center of Florida LLC | Specialist | 2808 Enterprise Rd, Suite 104, Debary, FL 32713-2753 | 2011-09-25 |
| 1164736880 | Heart and Hypertension Plc | Specialist | 70 Fox Ridge Ct, Debary, FL 32713-2752 | 2010-08-05 |
| 1174852412 | Advantacare of Florida LLC | Specialist | 2808 Enterprise Rd, Suite 105, Debary, FL 32713-2753 | 2009-12-16 |
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|---|---|---|---|---|
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| 1699385823 | Suzanne Denise Moe | Specialist | 48 Nw 4th St, Homestead, FL 33030-5942 | 2020-08-03 |
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1417566712 | Angela Berry Williams | Specialist | 5175 W Atlantic Ave Ste C, Delray Beach, FL 33484-8101 | 2020-07-23 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1316562911 | A School 4 Legends LLC | Specialist | 11565 Se 57th Ct, Belleview, FL 34420-4361 | 2020-06-10 |
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1811518384 | Lori Rubin | Specialist | 8181 W Broward Blvd Ste 204, Plantation, FL 33324-2049 | 2020-05-06 |
| 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.