FLORIDA MEDICAL SPECIALISTS LLC (NPI# 1730422320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730422320 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL SPECIALISTS LLC |
| Other Organization Name | MAXHEALTH LAKEWOOD RANCH |
| Practice Address |
11505 Palmbrush Trl Suite 220 Lakewood Ranch FL 34202-2915 |
| Mailing Address |
Po Box 25487 Sarasota FL 34277-2487 |
| Practice Telephone | 9417472090 |
| Practice Fax Number | 9415567785 |
| Mailing Telephone | 9417472090 |
| Mailing Fax Number | 9415567785 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-11-26 |
| Authorized Official Name | INITA BEDI (MANAGING PARTNER) |
| Authorized Official Telephone | 9412845448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 99648 | 01 |
| Other Name | Type Code |
|---|---|
| MAXhealth Lakewood Ranch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023660255 | Florida Medical Specialists LLC | Internal Medicine | 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 | 2019-07-09 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1861894842 | Florida Medical Specialists LLC | Internal Medicine | 7915 Us Highway 301 N Ste 103, Ellenton, FL 34222-3532 | 2014-09-22 |
| 1790111516 | Florida Medical Specialists LLC | Pediatrics | 5305 E State Road 64, Bradenton, FL 34208-5534 | 2013-09-25 |
| 1922286822 | Florida Medical Specialists LLC | Internal Medicine | 4351 Cortez Rd W Ste 100, Bradenton, FL 34210-3215 | 2008-02-04 |
| 1750399598 | Florida Medical Specialists LLC | Urology | 3830 Bee Ridge Road, Suite 301, Sarasota, FL 34233 | 2006-08-04 |
| 1760028641 | Florida Medical Specialists LLC | Internal Medicine | 329 Nokomis Ave S Ste F, Venice, FL 34285-2418 | 2019-11-26 |
| 1811364813 | Florida Medical Specialists LLC | Dermatology | 6312 Us 301 N, Ellenton, FL 34222-3066 | 2015-08-25 |
| 1316330194 | Florida Medical Specialists LLC | Radiology | 3904 Cortez Rd W, Bradenton, FL 34210-3111 | 2015-03-18 |
| 1760818249 | Florida Medical Specialists LLC | Family Medicine | 5309 E State Road 64, Bradenton, FL 34208-5534 | 2013-09-17 |
| Street Address |
11505 PALMBRUSH TRL SUITE 220 |
| City | LAKEWOOD RANCH |
| State | FL |
| Zip Code | 34202-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700959590 | Nicholas Lancia | Pathology | 11505 Palmbrush Trl, Suite 120, Lakewood Ranch, FL 34202-2915 | 2006-11-17 |
| 1720480643 | Diane Pearce | Nurse Practitioner | 11505 Palmbrush Trl, Suite 200, Lakewood Ranch, FL 34202-2915 | 2014-09-23 |
| 1912311895 | Nora Clemens | Nutritionist | 11505 Palmbrush Trl, Lakewood Ranch, FL 34202-2915 | 2014-06-18 |
| 1609216175 | Florida Medical Specialists, LLC | Dermatology | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2013-06-28 |
| 1396185047 | Florida Medical Specialists, LLC | Physical Medicine & Rehabilitation | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2013-06-26 |
| 1598057630 | Wesley Stephen Hardin | Physician Assistant | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2011-05-09 |
| 1811218613 | Daniela Kassabov | Family Medicine | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2010-06-15 |
| 1629245683 | Tonantzin Matheus | Internal Medicine | 11505 Palmbrush Trl, Suite 200, Lakewood Ranch, FL 34202-2915 | 2008-05-09 |
| 1649490095 | Jill Christin Rose | Physical Therapist | 11505 Palmbrush Trl, Lakewood Ranch, FL 34202-2917 | 2007-04-26 |
| 1871628529 | Hung-wei Lee | Pathology | 11505 Palmbrush Trl, Suite 120, Lakewood Ranch, FL 34202-2915 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629519038 | Gregory Mandile | Internal Medicine | 8130 Lakewood Main St Ste 103, Lakewood Ranch, FL 34202-5068 | 2017-03-17 |
| 1407207004 | Richard A Houston | Internal Medicine | 8130 Lakewood Main St, Ste 103, Lakewood Ranch, FL 34202-5068 | 2016-06-24 |
| 1093113086 | Florida Mobile Physicians LLC | Internal Medicine | 7313 International Pl, Suite 80, Lakewood Ranch, FL 34240-8406 | 2014-12-08 |
| 1629338918 | Ofelia Madrid Bernabe | Internal Medicine | 7066 Twin Hills Ter, Lakewood Ranch, FL 34202-2401 | 2012-05-21 |
| 1154646099 | Kinga Porter | Internal Medicine | 11509 Palmbrush Trl Ste 202, Lakewood Ranch, FL 34202-2900 | 2010-04-04 |
| 1225209976 | Constance B Purser Md Pl | Internal Medicine | 8936 77th Ter E, Ste 102, Lakewood Ranch, FL 34202-6419 | 2008-03-20 |
| 1447308143 | Rhonda Alyse Thompson | Internal Medicine | 6272 Lake Osprey Dr, Lakewood Ranch, FL 34240-8425 | 2007-01-08 |
| 1447288162 | Louis Siegel | Internal Medicine | 13906 Siena Loop, Lakewood Ranch, FL 34202-2443 | 2006-06-29 |
| 1922048719 | Constance Beth Purser | Internal Medicine | 8936 77th Ter E Unit 102, Lakewood Ranch, FL 34202-6419 | 2006-06-08 |
| 1790777159 | Harvey S. Mishner | Internal Medicine | 11505 Palmbrush Trail, Suite 220, Lakewood Ranch, FL 34202-5180 | 2005-08-22 |
| Find all providers in LAKEWOOD RANCH | ||||
| City | LAKEWOOD RANCH |
| Zip Code | 34202 |
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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.