WILMER COLUMBIE SARDINAS (NPI# 1699205310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699205310 |
| Entity Type | Individual |
| Full Name | WILMER COLUMBIE SARDINAS |
| Credential | MD |
| Practice Address |
3162 Conway Rd Orlando FL 32812-7331 |
| Mailing Address |
121 S Orange Ave Ste 940 Orlando FL 32801-3234 |
| Practice Telephone | 4076270056 |
| Practice Fax Number | 4072370355 |
| Mailing Telephone | 4076589687 |
| Mailing Fax Number | 4072864515 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN964 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 19666 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | ECFMG | 07469000 | 01 |
| FL | DEA | FC6907705 | 01 |
| FL | NPI | 1699205310 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1931 S Narcoossee Rd, Saint Cloud, FL 347717211 | 4079869642 | 4075936102 |
| Street Address |
3162 CONWAY RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32812-7331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083819361 | Enrique R Martinez-lugo | General Practice | 3162 Conway Rd, Orlando, FL 32812 | 2007-06-18 |
| 1366682338 | Angel Miguel Cruz Mesa | General Practice | 3162 Conway Rd, Orlando, FL 32812-7331 | 2009-03-03 |
| 1720286545 | Migdaliz Cotto Ayala | General Practice | 3162 Conway Rd, Orlando, FL 32812-7331 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1437666955 | Martika Haggerty | Community Health Worker | 3708 South Conway Road, Orlando, FL 32812 | 2018-01-05 |
| 1407370737 | Mary Brooks | Nurse Practitioner | 3788 Gatlin Place Circle, Orlando, FL 32812 | 2017-07-28 |
| 1730602012 | Kimberly S Arenburg | Licensed Practical Nurse | 2452 S. Conway Rd, Apt 337, Orlando, FL 32812 | 2017-07-19 |
| 1710409388 | Deborah Larson Catron | Massage Therapist | 4848 Berrywood Drive, Orlando, FL 32812 | 2017-07-14 |
| 1689108268 | Royal Transportation Group LLC | Taxi | 3835 Mccoy Road, Orlando, FL 32812 | 2017-04-20 |
| 1205289980 | Yania Bradshaw | Behavioral Analyst | 5212 Lake Margaret Dr., Apt 1210, Orlando, FL 32812 | 2016-07-19 |
| 1730552548 | Sarah Jean Pommier | Counselor | 5120 Louvre Ave, Belle Isle, FL 32812 | 2015-11-03 |
| 1528459336 | Minh Ethan Duc Dang | Physician Assistant | 5058 South Conway Rd, Orlando, FL 32812 | 2015-02-16 |
| Find all providers in zip 32812 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961411 | Ileana Padilla | General Practice | 11521 Solaya Way Unit 307, Orlando, FL 32821-9453 | 2020-04-19 |
| 1376172965 | Sky Counseling Services LLC | General Practice | 12701 S John Young Pkwy Ste 202, Orlando, FL 32837-3422 | 2020-04-06 |
| 1174162853 | Gamalier Mestre | General Practice | 6001 Vineland Rd Ste 104, Orlando, FL 32819-7829 | 2019-12-30 |
| 1902448228 | Amilys Garcia Martin | General Practice | 1140 S Semoran Blvd Ste E, Orlando, FL 32807-1459 | 2019-10-09 |
| 1376005009 | Rejuvenation Care Clinic of Central Florida | General Practice | 12221 E Colonial Dr Apt 1105, Orlando, FL 32826-4762 | 2019-04-02 |
| 1073082236 | Medical Golden Clinic LLC | General Practice | 4365 Hunters Park Ln # 10, Orlando, FL 32837-7614 | 2018-11-16 |
| 1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
| 1366958910 | Orlando Therapy Center, Inc | General Practice | 6900 S Orange Blossom Trl Ste 300, Orlando, FL 32809-5736 | 2017-12-19 |
| 1679084164 | H&h Care Center LLC | General Practice | 707 Mendham Blvd Ste 104, Orlando, FL 32825-3245 | 2017-10-24 |
| 1356871735 | Rebeca Lidia Perez Sanchez | General Practice | 13017 Islamorada Dr, Orlando, FL 32837-4789 | 2017-06-18 |
| Find all providers in ORLANDO | ||||
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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.