ALLEN R CONDO (NPI# 1588654008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588654008 |
| Entity Type | Individual |
| Full Name | ALLEN R CONDO |
| Credential | MD |
| Practice Address |
730 Malabar Rd Ste B Malabar FL 32950-3140 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214096800 |
| Practice Fax Number | 3214096810 |
| Mailing Telephone | 3213123470 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME72243 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | 32596Z | 01 |
| Street Address |
730 MALABAR RD STE B |
| City | MALABAR |
| State | FL |
| Zip Code | 32950-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669032025 | Kelly Campbell Owens | Physician Assistant | 730 Malabar Rd Ste B, Malabar, FL 32950-3140 | 2019-06-18 |
| 1417948142 | Damani A Hosey | Family Medicine | 730 Malabar Rd Ste B, Malabar, FL 32950-3140 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589771 | Urgent Care Centers of Brevard County LLC | Clinic/Center | 730 Malabar Rd Ne, Ste B, Malabar, FL 32950 | 2020-02-05 |
| 1649741794 | Joanne Schneider | Technician | 1731 Country Cove Circle, Malabar, FL 32950 | 2018-12-16 |
| 1760952667 | Amy Nies | Social Worker | 1040 Steeplechase Cir, Malabar, FL 32950 | 2018-12-04 |
| 1548260326 | Kiron Malhotra | Internal Medicine | 730 Malabar Rd Ste A, Malabar, FL 32950 | 2005-07-22 |
| 1467437004 | Bhaskerrao P Patel | Internal Medicine | 730 Malabar Rd Ste A, Malabar, FL 32950 | 2005-12-07 |
| 1194052118 | Charlene D Gilbert | Home Health Aide | 2165 Weber Rd, Malabar, FL 32950-3119 | 2009-11-12 |
| 1184286478 | Mindy Leanne Strickland | Nurse Practitioner | 775 Malabar Rd, Malabar, FL 32950-3120 | 2019-07-08 |
| 1356853360 | Tracy Zapanta | Nurse Practitioner | 775 Malabar Rd, Malabar, FL 32950-3120 | 2017-10-31 |
| 1518338839 | Lakeecia Cannion | Registered Nurse | 775 Malabar Rd, Malabar, FL 32950-3120 | 2015-10-13 |
| 1801289707 | Leigh Anne Potts | Nurse Practitioner | 775 Malabar Rd, Malabar, FL 32950-3120 | 2015-03-17 |
| Find all providers in zip 32950 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588696868 | Lynn Maria Chacko | Family Medicine | 730 Malabar Rd, Malabar, FL 32950-3140 | 2006-07-07 |
| 1174572895 | Anthony W Adams | Family Medicine | 730 Malabar Rd, Suite B, Malabar, FL 32950-3140 | 2006-05-09 |
| 1326003096 | David H Todd | Family Medicine | 775 Malabar Rd, Malabar, FL 32950-3120 | 2006-04-18 |
| 1417948142 | Damani A Hosey | Family Medicine | 730 Malabar Rd Ste B, Malabar, FL 32950-3140 | 2005-11-02 |
| 1013905645 | Ashish K Ojha | Family Medicine | 730 Malabar Rd, Malabar, FL 32950-3140 | 2005-10-07 |
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| 1801497953 | Wildwood Primary Care Associates | Family Medicine | 5814 Seven Mile Dr Ste 105, Wildwood, FL 34785-8869 | 2020-11-05 |
| 1053912238 | New Port Richey Primary Care Associates | Family Medicine | 4772 Us Highway 19, New Port Richey, FL 34652-4944 | 2020-11-04 |
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1902407455 | Trek Healthcare LLC | Family Medicine | 11767 S Dixie Hwy # 208, Pinecrest, FL 33156-4438 | 2020-11-02 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1457950420 | Paxton Medical Management | Family Medicine | 14279 Tamiami Trl, North Port, FL 34287-2215 | 2020-10-21 |
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| 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.