ORLANDO PHYSICIAN SPECIALISTS LLC (NPI# 1669768065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669768065 |
| Entity Type | Organization |
| Organization Name | ORLANDO PHYSICIAN SPECIALISTS LLC |
| Other Organization Name | WINTER PARK CANCER CENTER |
| Practice Address |
1561 W Fairbanks Ave Suite 100 Winter Park FL 32789-4678 |
| Practice Telephone | 4074784920 |
| Practice Fax Number | 4074784921 |
| Mailing Telephone | 3212750333 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2016-08-01 |
| Authorized Official Name | CHARLES WITTEN (DIRECTOR) |
| Authorized Official Telephone | 3212750333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 0027J | 01 |
| FL | 004206300 | 05 | |
| FL | RR MEDICARE | DS5207 | 01 |
| Other Name | Type Code |
|---|---|
| Winter Park Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467721019 | Orlando Physician Specialists LLC | Internal Medicine | 7436 Docs Grove Cir, Orlando, FL 32819-8010 | 2011-12-27 |
| 1023567229 | Orlando Physician Specialists LLC | Urology | 2250 Bedford Rd, Orlando, FL 32803-1443 | 2016-09-28 |
| 1750830956 | Orlando Physician Specialists LLC | Urology | 5579 S Orange Ave, Edgewood, FL 32809-3493 | 2016-09-28 |
| 1144773706 | Orlando Physician Specialists LLC | Internal Medicine | 830 29th St, Orlando, FL 32805-6219 | 2016-08-01 |
| 1932652591 | Orlando Physician Specialists LLC | Internal Medicine | 2250 Bedford Rd, Orlando, FL 32803-1443 | 2016-08-01 |
| 1487107942 | Orlando Physician Specialists LLC | Internal Medicine | 5579 S Orange Ave, Edgewood, FL 32809-3493 | 2016-08-01 |
| 1497196083 | Orlando Physician Specialists LLC | Radiology | 3599 University Blvd S, Suite 805, Jacksonville, FL 32216-4252 | 2013-07-11 |
| 1134566813 | Orlando Physician Specialists LLC | Internal Medicine | 7252 Narcoossee Rd, Suite 104, Orlando, FL 32822-5550 | 2013-06-04 |
| 1902243868 | Orlando Physician Specialists LLC | Urology | 235 Citrus Tower Blvd, Suite 102, Clermont, FL 34711-2712 | 2013-05-31 |
| 1932440088 | Orlando Physician Specialists LLC | Surgery | 10000 W Colonial Dr, Suite 288, Ocoee, FL 34761-3400 | 2013-03-13 |
| Street Address |
1561 W FAIRBANKS AVE SUITE 100 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-4678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626129 | Michael David Sombeck | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2005-08-10 |
| 1407302698 | James Candler | Physician Assistant | 1561 W Fairbanks Ave, Suite 300, Winter Park, FL 32789-4678 | 2016-08-29 |
| 1922482694 | Winter Park Cancer Center, LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2015-07-13 |
| 1821471533 | Winter Park Cancer Center, LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2015-06-30 |
| 1114212313 | Orlando First Land Partners LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2011-06-15 |
| 1518021211 | Sleep Care Solutions of Central Florida, LLC | Clinic/Center | 1561 W Fairbanks Ave, Ste 102, Winter Park, FL 32789-4678 | 2006-12-20 |
| 1669444725 | Jamie A Cesaretti | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2006-02-03 |
| 1942202981 | Robert James Sollaccio | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417121302 | David Paul Buser | Radiology | 1561 W Fairbanks Ave Ste 100, Winter Park, FL 32789 | 2008-04-22 |
| 1598953622 | Florida Oncology Network Pa | Radiology | 2100 Glenwood Dr, Winter Park, FL 32792-3310 | 2007-10-15 |
| 1376745612 | Kelly E Lafave | Radiology | 483 N Semoran Blvd Ste 107, Winter Park, FL 32792-3800 | 2007-05-31 |
| 1184626129 | Michael David Sombeck | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2005-08-10 |
| 1568941946 | Dpbmd, LLC. | Radiology | 1561 W Fairbanks Ave Ste 100, Winter Park, FL 32789-4678 | 2018-08-07 |
| 1932564978 | Florida Radiation Oncology Partners | Radiology | 483 N Semoran Blvd, Suite 107, Winter Park, FL 32792-3800 | 2015-12-17 |
| 1922482694 | Winter Park Cancer Center, LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2015-07-13 |
| 1821471533 | Winter Park Cancer Center, LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2015-06-30 |
| 1114212313 | Orlando First Land Partners LLC | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2011-06-15 |
| 1669444725 | Jamie A Cesaretti | Radiology | 1561 W Fairbanks Ave, Suite 100, Winter Park, FL 32789-4678 | 2006-02-03 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
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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.