DR. LULU AMORNMARN (NPI# 1477665263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477665263 |
| Entity Type | Individual |
| Full Name | DR. LULU AMORNMARN |
| Credential | M.D., M.P.H. |
| Practice Address |
8218 Chester Lake Rd N Jacksonville FL 32256-3401 |
| Practice Telephone | 9046138049 |
| Mailing Telephone | 9046138049 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME61020 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
ME61020 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA HMO | 2287707 | 01 | |
| FL | BLUE CROSS BLUE SHIELD | 25126 | 01 |
| RAILROAD MEDICARE | 030005313 | 01 | |
| CIGNA | 1227935 | 01 | |
| FL | 375111200 | 05 | |
| MEDICARE PTAN | BL140W | 01 | |
| AETNA PPO/POS | 4641748 | 01 |
| Street Address |
8218 CHESTER LAKE RD N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373758 | Jacqueline Squire | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2015-04-07 |
| 1659531929 | University of Florida Jacksonville Physicians Inc | Internal Medicine | 655 W 8th St, Ufjp Internal Medicine, Jacksonville, FL 32209-6511 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215181524 | D.t. Griffith, M.d. LLC | Internal Medicine | 874 S Parsons Ave, Brandon, FL 33511-6007 | 2008-11-13 |
| 1346299005 | Asthma Allergy Care Center Pl | Internal Medicine | 1301, S. International Parkway, Suite 1011, Lake Mary, FL 32746-1410 | 2006-05-09 |
| 1043293335 | Patrick J Klemawesch | Internal Medicine | 6294 - 1st Ave N, Allergy Associates, St. Petersburg, FL 33710 | 2005-11-21 |
| 1083695092 | Lizette Sonia Hernandez | Internal Medicine | 3709 W Hamilton Ave, Suite 1, Tampa, FL 33614-4015 | 2005-11-07 |
| 1104245174 | Tara Vinyette Saco | Internal Medicine | 3570 S Tuttle Ave, Sarasota, FL 34239-6405 | 2014-04-07 |
| 1134419310 | Emma Westermann-clark | Internal Medicine | 801 6th St S, St Petersburg, FL 33701 | 2011-04-08 |
| 1134428691 | Neil Umeshbhai Parikh | Internal Medicine | 733 S Goldenrod Rd Ste A, Orlando, FL 32822-8100 | 2011-03-23 |
| 1730496076 | Vanessa Yohana Cavero Chavez | Internal Medicine | 1600 Sw Archer Rd # 100296, Gainesville, FL 32610-2006 | 2010-09-08 |
| 1336392547 | Nisha S Patel | Internal Medicine | 2605 W Swann Ave Ste 600, Tampa, FL 33609-4044 | 2008-10-31 |
| 1316102171 | Barry M Seinfeld | Internal Medicine | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2008-07-22 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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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.