CFA KIDNEY & HYPERTENSION CENTER LLC (NPI# 1538198783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538198783 |
| Entity Type | Organization |
| Organization Name | CFA KIDNEY & HYPERTENSION CENTER LLC |
| Practice Address |
587 E State Road 434 Suite 1011 Longwood FL 32750-5284 |
| Mailing Address |
P O Box 915467 Longwood FL 32791-5467 |
| Practice Telephone | 3212144133 |
| Practice Fax Number | 3212144216 |
| Mailing Telephone | 3212144133 |
| Mailing Fax Number | 3212144216 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | DR. OLUFUNMILOLA OLUWAKEMI DARAMOLA-OGUNWUYI (PRESIDENT) |
| Authorized Official Telephone | 3212144133 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | L06000028969 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CITRUS HEALTH CARE PLAN | 14479901 | 01 | |
| FL | 276132700 | 05 | |
| CIGNA | 7281278 | 01 | |
| AVMED | 303267 | 01 | |
| FL | WELLCARE | 354671 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 56284 | 01 |
| FL | RAILROAD MEDICARE | DF1497 | 01 |
| Street Address |
587 E STATE ROAD 434 SUITE 1011 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-5284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166317 | Lawrence D Kelley | Family Medicine | 587 E State Road 434, Suite 1071, Longwood, FL 32750-5201 | 2005-09-29 |
| 1417493966 | Amber Tennille Garrett | Case Manager/Care Coordinator | 587 E State Road 434, Suite 1021, Longwood, FL 32750-5201 | 2017-01-09 |
| 1508302050 | Chelsey Cymone Perkins | Case Manager/Care Coordinator | 587 E State Road 434, Longwood, FL 32750-5201 | 2017-01-09 |
| 1578965604 | Impower | Community/Behavioral Health | 587 E State Road 434, Suite1021, Longwood, FL 32750-5201 | 2014-09-19 |
| 1922095603 | Lawrence D. Kelley | Family Medicine | 587 E State Road 434, Ste 1071, Longwood, FL 32750-5201 | 2005-09-29 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558536631 | Antonio L Rodriguez Md Pa | Clinic/Center | 1801 Wingfield Dr, Longwood, FL 32779-2708 | 2008-04-29 |
| 1770764250 | Simon Isaac M D P A | Clinic/Center | 448 S Milwee St, Longwood, FL 32750-4163 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356455 | Holistic Care LLC | Clinic/Center | 1108 Kane Concourse Ste 205, Bay Harbor Islands, FL 33154-2068 | 2020-11-05 |
| 1417558651 | Eclipse Wellness Center | Clinic/Center | 3015 S Congress Ave Ste 7, Palm Springs, FL 33461-2111 | 2020-11-04 |
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1134729494 | Anchor Plus Wellness Center, LLC | Clinic/Center | 5951 Nw 151st St Ste 205, Miami Lakes, FL 33014-2445 | 2020-10-27 |
| 1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CFA KIDNEY & HYPERTENSION CENTER LLC.
| 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.