PARADISE MEDICAL CENTER (NPI# 1639254188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639254188 |
| Entity Type | Organization |
| Organization Name | PARADISE MEDICAL CENTER |
| Practice Address |
1890 North Tamiami Trail #d2 North Fort Myers FL 33903 |
| Practice Telephone | 2396560455 |
| Practice Fax Number | 2396563010 |
| Mailing Telephone | 2396560455 |
| Mailing Fax Number | 2396563010 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EPHRHIM GUTIERREZ AGUILAR (PRESIDENT) |
| Authorized Official Telephone | 2396560455 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME16708 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396044848 | Paradise Medical Center | Allergy & Immunology | 8981 George Ave, Berrien Springs, MI 49103-1407 | 2011-03-23 |
| Street Address |
1890 NORTH TAMIAMI TRAIL #D2 |
| City | NORTH FORT MYERS |
| State | FL |
| Zip Code | 33903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376590 | Tls Consulting, LLC | Community/Behavioral Health | 13971 N. Cleveland Avenue #9, North Fort Myers, FL 33903 | 2019-09-26 |
| 1710537857 | Mariel Hernandez | Nurse Practitioner | 16251 N Cleveland Ave Ste 12, North Fort Myers, FL 33903 | 2019-09-19 |
| 1003308644 | Brandon Paige | Behavior Technician | 4085 Hancock Bridge Pkwy Unit 101, North Fort Myers, FL 33903 | 2018-05-30 |
| 1386176253 | Annette Porter | Clinic/Center | 995 Pondella Rd., North Fort Myers, FL 33903 | 2017-03-30 |
| 1972873883 | Apinya Suppatkul | Pharmacist | 17050 N Tamiami Trl, Fort Myers, FL 33903 | 2012-01-09 |
| 1932340536 | Jessica Winter Poe | Dentist | 19001north Tamiami Trail, Suite #3171, North Fort Myers, FL 33903 | 2009-03-12 |
| 1710127055 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 13240 N. Cleveland Ave., Suite 12, North Ft. Myers, FL 33903 | 2009-02-26 |
| 1013031038 | Mark B. Gorby | Dentist | 14731 N. Cleveland Ave., Suite 1 Community Dental Care, N. Fort Myers, FL 33903 | 2007-03-16 |
| 1285704882 | Jon L. Rauch | Dentist | 19001 N. Tamiami Trail, N. Ft Myers, FL 33903 | 2006-11-09 |
| 1164516696 | Jean Mary Campaiola | Psychiatry & Neurology | 939 Pondella Road, Fact Team, Ft. Myers, FL 33903 | 2006-10-02 |
| Find all providers in zip 33903 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | NORTH FORT MYERS |
| Zip Code | 33903 |
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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.