BLOCK NATION CHASE SMOLEN FAMILY MEDICINE INC (NPI# 1679671200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679671200 |
Entity Type | Organization |
Organization Name | BLOCK NATION CHASE SMOLEN FAMILY MEDICINE INC |
Practice Address |
2441 West State Road 426 Suite 2011 Oviedo FL 32765-4515 |
Practice Telephone | 4076786888 |
Practice Fax Number | 4076780252 |
Mailing Telephone | 4076786888 |
Mailing Fax Number | 4076780252 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2013-01-28 |
Authorized Official Name | BRADLEY M BLOCK (OWNER) |
Authorized Official Telephone | 4076786888 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME0061495 | FL | Ambulatory Health Care Facilities |
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OS0007059 | FL | Ambulatory Health Care Facilities |
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME0074034 | FL | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME90314 | FL | Ambulatory Health Care Facilities |
Street Address |
2441 WEST STATE ROAD 426 SUITE 2011 |
City | OVIEDO |
State | FL |
Zip Code | 32765-4515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609858323 | Susan G Smolen | Family Medicine | 2441 West State Road 426, Suite 2011, Oviedo, FL 32765-4515 | 2005-11-17 |
1326021528 | Craig P Chase | Family Medicine | 2441 West State Road 426, Suite 2011, Oviedo, FL 32765-4515 | 2005-11-22 |
1205819307 | Bradley M Block | Family Medicine | 2441 West State Road 426, Suite 2011, Oviedo, FL 32765-4515 | 2005-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467559641 | Joan Coupland, Md Pa | Clinic/Center | 1000 W Broadway St, 205, Oviedo, FL 32765-9260 | 2006-09-20 |
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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.