SANTA ROSA DE LIMA MEDICAL PA (NPI# 1679538664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679538664 |
| Entity Type | Organization |
| Organization Name | SANTA ROSA DE LIMA MEDICAL PA |
| Practice Address |
1055 Saxon Blvd Orange City FL 32763-8468 |
| Mailing Address |
4916 San Marino Cir C/o S. Calderon, Md Lake Mary FL 32746-2608 |
| Practice Telephone | 4072685415 |
| Mailing Telephone | 4072685415 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-11-27 |
| Authorized Official Name | SANTIAGO W. CALDERON (PRESIDENT) |
| Authorized Official Telephone | 4072685415 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME70874 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL MEMORIAL HEALTH NETWOR | 13935 | 01 |
| FL | RR MEDICARE | CH6285 | 01 |
| FL | HUMANA | 000830802 | 01 |
| FL | HEALTHEASE | 150170 | 01 |
| FL | BC/BS | 94709 | 01 |
| FL | 263393100 | 05 |
| Street Address |
1055 SAXON BLVD |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-8468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747982 | Ce Bunnell & Associates Pllc | Pathology | 1055 Saxon Blvd, Dept. of Pathology, Orange City, FL 32763-8468 | 2005-11-19 |
| 1811517527 | Raquel Duzant | Speech-Language Pathologist | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2020-04-22 |
| 1245881473 | Emily Hidalgo | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-09-29 |
| 1033760012 | Cristyl Rachelle Mcclure | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-09-22 |
| 1548816390 | Samantha Tronolone | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-08-16 |
| 1851959407 | Autumn Enrique Oakes | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-05-30 |
| 1306403373 | Nancy Vazquez | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-05-24 |
| 1013411172 | Tasha Naomi Brickhouse | Dietitian, Registered | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2018-03-22 |
| 1821370685 | Derek Nelson | Physician Assistant | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2011-09-16 |
| 1417236902 | Zachary E Ballenger | Radiology | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2011-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720334634 | Sara Levasseur | Specialist | 2510 Outer Cape St, 208, Orange City, FL 32763-8244 | 2012-07-29 |
| 1750472122 | All Family Clinic of Daytona Beach, Inc | Specialist | 1051 Town Center Drive, Orange City, FL 32763 | 2006-09-28 |
| 1982653713 | Santosh M Nair | Specialist | 2776 Enterprise Road, Suite 100, Orange City, FL 32763-8316 | 2006-05-09 |
| 1265481428 | Neeraj Sharma | Specialist | 2776 Enterprise Rd Ste 100, Orange City, FL 32763-8316 | 2006-05-08 |
| 1346298759 | Peter G Selassie | Specialist | 1061 Medical Center Dr, Suite 110, Orange City, FL 32763-8200 | 2006-05-05 |
| 1790755759 | Santiago W. Calderon | Specialist | 1668 S Volusia Ave, Orange City, FL 32763-7335 | 2006-01-24 |
| 1730180381 | Myrna A Garcia | Specialist | 2540 N Volusia Ave, Orange City, FL 32763-2842 | 2005-08-04 |
| 1700325099 | Hearing Aids Direct | Specialist | 742 N Volusia Ave, Orange City, FL 32763-4857 | 2017-02-20 |
| 1265807598 | Advanced Ortho & Sports Med | Specialist | 1639 N Volusia Ave, Orange City, FL 32763-3843 | 2015-12-11 |
| 1720404726 | Hearing Aids Direct, LLC | Specialist | 742 N Volusia Ave, Orange City, FL 32763-4857 | 2014-03-14 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
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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.