BOBBY JOHN ARDILA (NPI# 1699737783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699737783 |
| Entity Type | Individual |
| Full Name | BOBBY JOHN ARDILA |
| Credential | PA-C |
| Practice Address |
410 Celebration Pl Suite 200 Celebration FL 34747-5433 |
| Practice Telephone | 4073034673 |
| Practice Fax Number | 4073034674 |
| Mailing Telephone | 4073034673 |
| Mailing Fax Number | 4073034674 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2009-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9102779 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291863300 | 05 |
| Street Address |
410 CELEBRATION PL SUITE 200 |
| City | CELEBRATION |
| State | FL |
| Zip Code | 34747-5433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530628 | David Ashley Marcantel | Obstetrics & Gynecology | 410 Celebration Pl, Suite 208, Celebration, FL 34747-5433 | 2005-06-30 |
| 1588219992 | Peter Floros | Student in an Organized Health Care Education/Training Program | 410 Celebration Pl, Celebration, FL 34747-5433 | 2019-08-04 |
| 1962854760 | Crista Hays | Physician Assistant | 410 Celebration Pl, Suite 106, Celebration, FL 34747 | 2016-07-06 |
| 1578924585 | Chelsea Aaron Marie Byard | Audiologist | 410 Celebration Pl, Suite 100, Celebration, FL 34747-5433 | 2016-03-18 |
| 1518339373 | Elizabeth Aitken | Audiologist | 410 Celebration Pl, Celebration, FL 34747-5433 | 2015-10-20 |
| 1043640782 | John Andrich | Physician Assistant | 410 Celebration Pl, Suite 200, Celebration, FL 34747-5433 | 2013-11-15 |
| 1801148093 | Larissa Schmidt | Podiatrist | 410 Celebration Pl, Ste 206, Celebration, FL 34747-5434 | 2012-10-11 |
| 1447510748 | Farah Tasnuva Mahbub | Obstetrics & Gynecology | 410 Celebration Pl, Suite 208, Celebration, FL 34747-5433 | 2012-05-21 |
| 1275893588 | Maegan Lubbers | Obstetrics & Gynecology | 410 Celebration Pl, Suite 208, Celebration, FL 34747-5433 | 2012-05-21 |
| 1407145105 | Afra Ali | Pediatrics | 410 Celebration Pl, Suite 206, Celebration, FL 34747-5433 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| Find all providers in zip 34747 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346959 | Kevin M Boerner | Physician Assistant | 410 Celebration Place, Suite 200, Celebration, FL 34747-5432 | 2005-09-12 |
| 1720631567 | Neley Morales | Physician Assistant | 410 Celebration Pl Ste 200, Celebration, FL 34747-5432 | 2019-07-22 |
| 1922582147 | Vanessa Yvette Hernandez | Physician Assistant | 410 Celebration Pl Ste 305, Celebration, FL 34747-5436 | 2018-09-24 |
| 1831601517 | Aaliya Ali | Physician Assistant | 410 Celebration Pl Ste 302, Celebration, FL 34747-5435 | 2017-11-02 |
| 1821532714 | Erin M Donohoe | Physician Assistant | 410 Celebration Pl Ste 302, Celebration, FL 34747-5435 | 2016-12-12 |
| 1851759237 | Stefoni Stratton | Physician Assistant | 410 Celebration Pl Ste 302, Celebration, FL 34747-5435 | 2016-02-01 |
| 1437528957 | Marc Bryan Carmody | Physician Assistant | 410 Celebration Pl Ste 302, Celebration, FL 34747-5435 | 2015-09-15 |
| 1851627178 | Crystal Young Miranda | Physician Assistant | 400 Celebration Pl, Celebration, FL 34747-4970 | 2009-10-21 |
| 1265407217 | Robyn M. Gardner | Physician Assistant | 400 Celebration Pl, Suite A140, Celebration, FL 34747-4970 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | CELEBRATION |
| Zip Code | 34747 |
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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.