MONDELLO FAMILY CLINIC PA (NPI# 1700821121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700821121 |
| Entity Type | Organization |
| Organization Name | MONDELLO FAMILY CLINIC PA |
| Practice Address |
1023 Sr 542 W Dundee FL 33838 |
| Mailing Address |
Po Box 552195 Tampa FL 33655-0001 |
| Practice Telephone | 8634389110 |
| Practice Fax Number | 8634389095 |
| Mailing Telephone | 8634389110 |
| Mailing Fax Number | 8634389095 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2009-10-08 |
| Authorized Official Name | MRS. CHRISTOPHER MONDELLO (PHYSICIAN) |
| Authorized Official Telephone | 8634389110 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OS0005695 | FL | Ambulatory Health Care Facilities |
| Street Address |
1023 SR 542 W |
| City | DUNDEE |
| State | FL |
| Zip Code | 33838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417712 | Deandra Mahon | Student in an Organized Health Care Education/Training Program | 1523 Vista Del Lago Blvd, Dundee, FL 33838 | 2020-05-01 |
| 1417499542 | Cathleen Chicoine | Nurse Practitioner | 28149 Us 27, Dundee, FL 33838 | 2016-11-07 |
| 1083086656 | Education & Empowerment, Inc. | Day Training, Developmentally Disabled Services | 622 Dundee Road, Dundee, FL 33838 | 2015-10-22 |
| 1689842247 | Kevin Dwayne Cunningham | Pharmacist | 243 Us Highway 27 S, Dundee, FL 33838 | 2008-02-18 |
| 1124192612 | Nicanor S Baguio Jr. | General Practice | 28055 Us Highway 27 South, Dundee Medical Walk In Clinic, Dundee, FL 33838 | 2006-11-17 |
| 1710074497 | Dundee Medical Walk-in Clinic | General Practice | 28055 Highway 27 South, Dundee, FL 33838 | 2006-10-06 |
| 1871514174 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 243 Us Hwy 27 South, Dundee, FL 33838 | 2006-07-21 |
| 1679058515 | Central Florida Health Care Inc | Clinic/Center | 916 Hwy 542, Dundee, FL 33838 | 2018-09-26 |
| 1770603482 | Wanda W. J. Goldwire | Adult Companion | 207 Grace Ave, Dundee, FL 33838-0102 | 2007-03-29 |
| 1093096596 | Ingrid Nahil Atiles | Psychologist | 1023 Dundee Rd, Dundee, FL 33838-3101 | 2011-08-29 |
| Find all providers in zip 33838 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548523467 | Primary Care of Dundee | Clinic/Center | 28279 Hwy 27, Dundee, FL 33838-4270 | 2012-06-18 |
| 1508065905 | Dundee Pediatrics, Pllc | Clinic/Center | 120 Waterstradt-commerce Drive, Suite 1, Dundee, MI 48131 | 2007-07-16 |
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| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.