JOAN COUPLAND, MD PA (NPI# 1467559641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467559641 |
| Entity Type | Organization |
| Organization Name | JOAN COUPLAND, MD PA |
| Other Organization Name | CENTRAL FLORIDA FAMILY MEDICINE |
| Practice Address |
1000 W Broadway St 205 Oviedo FL 32765-9260 |
| Practice Telephone | 4077061650 |
| Practice Fax Number | 4077061651 |
| Mailing Telephone | 4077061650 |
| Mailing Fax Number | 4077061651 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | JOAN COUPLAND (OWNER) |
| Authorized Official Telephone | 4077061650 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME79870 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE RAILROAD GROUP | DF5015 | 01 |
| FL | 276167000 | 05 | |
| FL | MEDICARE RAILROAD INDIVID | P00370860 | 01 |
| Other Name | Type Code |
|---|---|
| Central Florida Family Medicine | Doing Business As Name - Organization |
| Street Address |
1000 W BROADWAY ST 205 |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-9260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161419 | Brooke Anne Gregory | Nurse Practitioner | 1000 W Broadway St, Suite 206a, Oviedo, FL 32765-9260 | 2005-08-11 |
| 1174183347 | Beverly Lord | Speech-Language Pathologist | 1000 W Broadway St, Ste 214, Oviedo, FL 32765-2962 | 2019-06-19 |
| 1073079869 | Jessica Wiggins | Speech-Language Pathologist | 1000 W Broadway St, Oviedo, FL 32765-9260 | 2019-02-16 |
| 1710471172 | Lisa Nelson | Early Intervention Provider Agency | 1000 W Broadway St, Oviedo, FL 32765-9260 | 2018-06-19 |
| 1417459728 | Kara Pate | Occupational Therapist | 1000 W Broadway St, Oviedo, FL 32765-9260 | 2018-03-02 |
| 1275051104 | Krystal Amanda Carter | Specialist/Technologist | 1000 W Broadway St, Oviedo, FL 32765-9260 | 2017-08-30 |
| 1235662974 | Celine Hani | Occupational Therapist | 1000 W Broadway St, Oviedo, FL 32765-9260 | 2017-04-10 |
| 1255863908 | Krystal King | Behavior Technician | 1000 W Broadway St, Ste 214, Oviedo, FL 32765-9260 | 2017-03-31 |
| 1043751936 | Nicole Croft | Occupational Therapist | 1000 W Broadway St, Suite #214, Oviedo, FL 32765-9260 | 2017-03-13 |
| 1982155461 | Tekila Ndukwe | Speech-Language Pathologist | 1000 W Broadway St, Ste 214, Oviedo, FL 32765-9260 | 2016-10-19 |
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|---|---|---|---|---|
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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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.