DR. BRENT D MOOK SANG (NPI# 1629070974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629070974 |
| Entity Type | Individual |
| Full Name | DR. BRENT D MOOK SANG |
| Credential | M.D. |
| Practice Address |
2470 Bloomingdale Ave Ste 223 Valrico FL 33596-6403 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 8136897139 |
| Practice Fax Number | 8134438157 |
| Mailing Telephone | 7275321355 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME44540 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 042425100 | 05 |
| Street Address |
2470 BLOOMINGDALE AVE STE 223 |
| City | VALRICO |
| State | FL |
| Zip Code | 33596-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970597 | Lisa Champoux-rhoden | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-05-24 |
| 1184623068 | Robert Michael Friedmeyer | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-07-21 |
| 1073518619 | Marife Vega-quiros | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-06-20 |
| 1316949688 | Meesha Kshemal Mankodi | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-06-01 |
| 1609879287 | Patricia A Curtin | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-05-27 |
| 1699778274 | Julie Melene Dekle | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271983 | Barbara Jeanne Ross | Registered Nurse | 2322 Longmore Circle, Valrico, FL 33596 | 2019-02-15 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1487131645 | Nationwide Vision Center, LLC | Technician/Technologist | 2054 E Bloomingdale Ave, Valrico, FL 33596 | 2018-07-20 |
| 1952827305 | Alicia Marie Glasser | Counselor | 3011 Folklore Dr, Valrico, FL 33596 | 2017-08-17 |
| 1811443104 | Yosanna Melendez | Day Training, Developmentally Disabled Services | 4408 Kendal Ct, Valrico, FL 33596 | 2016-08-28 |
| 1689030181 | Wal-mart Stores East, Lp | Technician/Technologist | 2140 Bloomingdale Avenue, Valrico, FL 33596 | 2016-01-13 |
| 1841660008 | Tyler Bradney Love | Physical Therapist | 2470 Bloomingdale Ave, Valrico, FL 33596 | 2015-09-30 |
| 1528499761 | Madeline Horn | Registered Nurse | 2211 Lithia Center Ln, Valrico, FL 33596 | 2013-12-12 |
| 1740614635 | Dr James M Petro Od, Pa | Optometrist | 2140 E Bloomingdale Ave, Located In Wal-mart Vision Center, Valrico, FL 33596 | 2013-08-27 |
| 1134476294 | Ovia Voncile Stephens-oatman | Custodial Care Facility | 4220 Balington Dr, Valrico, FL 33596 | 2012-08-08 |
| Find all providers in zip 33596 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265767164 | Jerrold H. Cohen | Pediatrics | 3824 Hanover Hill Dr, Valrico, FL 33596-7161 | 2009-10-09 |
| 1225244718 | Alfred Ching | Pediatrics | 2544 Mason Oaks Dr, Valrico, FL 33594-6497 | 2007-05-14 |
| 1376617043 | Bloomingdale Pediatric Ass Pa | Pediatrics | 4316 Bell Shoals Rd, Valrico, FL 33594 | 2006-11-17 |
| 1619970597 | Lisa Champoux-rhoden | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-05-24 |
| 1629208905 | Sonia Margarita Ruiz | Pediatrics | 4316 Bell Shoals Rd, Valrico, FL 33596-7171 | 2009-07-21 |
| 1073518619 | Marife Vega-quiros | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-06-20 |
| 1316949688 | Meesha Kshemal Mankodi | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-06-01 |
| 1609879287 | Patricia A Curtin | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-05-27 |
| 1699778274 | Julie Melene Dekle | Pediatrics | 2470 Bloomingdale Ave Ste 223, Valrico, FL 33596-6403 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| 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.