DELOS CLIFT MD PA (NPI# 1548210180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548210180 |
| Entity Type | Organization |
| Organization Name | DELOS CLIFT MD PA |
| Practice Address |
3000 N Orange Ave Suite A Orlando FL 32804-7613 |
| Practice Telephone | 4074720840 |
| Practice Fax Number | 4074720841 |
| Mailing Telephone | 4074720840 |
| Mailing Fax Number | 4074720841 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | CATHY BENITEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 4074720840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME60789 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 2380840009 | 01 |
| FL | AVMED | 211537 | 01 |
| FL | BLUE CROSS/BLUE SHIELD | 12931 | 01 |
| FL | TRICARE | A004 | 01 |
| FL | AETNA HMO | 2068831 | 01 |
| Street Address |
3000 N ORANGE AVE SUITE A |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497729610 | Wilfred Ikemefuna Onyia | Internal Medicine | 3000 N Orange Ave, Suite A, Orlando, FL 32804-7613 | 2006-02-14 |
| 1679843106 | Kristina Marie Jose | Internal Medicine | 3000 N Orange Ave, Suite A, Orlando, FL 32804-7613 | 2011-12-30 |
| 1295990497 | James J Mcclelland Md Pl | Specialist | 3000 N Orange Ave, Suite A, Orlando, FL 32804-7613 | 2008-07-28 |
| 1316098510 | Aamera Ahmed | Internal Medicine | 3000 N Orange Ave, Ste D, Orlando, FL 32804-7613 | 2007-01-15 |
| 1487605416 | James J Mcclelland | Specialist | 3000 N Orange Ave, Suite A, Orlando, FL 32804-7613 | 2006-05-15 |
| 1699725341 | Deana L Pickett | Nurse Practitioner | 3000 N Orange Ave, Suite A, Orlando, FL 32804-7613 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619194099 | Gerard Paul De Castro | Surgery | 13800 Veterans Way Dept Of, Orlando, FL 32827-7401 | 2007-04-19 |
| 1396826707 | Charles S. Garnette | Surgery | 7412 Docs Grove Cir, Orlando, FL 32819-8010 | 2006-10-19 |
| 1396724571 | Charles S. Thompson | Surgery | 80 W Michigan St, Orlando, FL 32806-4453 | 2006-01-16 |
| 1942288808 | Manuel Ramon Perez-izquierdo | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2006-01-02 |
| 1255331666 | Vascular Center of Orlando, P.a. | Surgery | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2005-07-28 |
| 1891243051 | Vvc Viera LLC | Surgery | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2016-09-16 |
| 1649665639 | Rachel Elizabeth Wilson | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2015-04-06 |
| 1629368030 | Mohammad Nabeel Abbasi | Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2011-04-19 |
| 1740457365 | Edgar David Guzman Arrieta | Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2008-05-13 |
| 1952571671 | David Varnagy | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2008-03-10 |
| Find all providers in ORLANDO | ||||
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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.