SEMINOLE TRIBE OF FLORIDA (NPI# 1740551530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740551530 |
| Entity Type | Organization |
| Organization Name | SEMINOLE TRIBE OF FLORIDA |
| Practice Address |
30851 Buffalo Jim Loop Road Clewiston FL 33440 |
| Practice Telephone | 8639835151 |
| Practice Fax Number | 8639837875 |
| Mailing Telephone | 8639835151 |
| Mailing Fax Number | 8639837875 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | CONNIE WHIDDEN (HEALTH DIRECTOR-SEMINOLE TRIBE OF F) |
| Authorized Official Telephone | 9549622009 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | SEMINOLE TRIBE OF FLORIDA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851662472 | Seminole Tribe of Florida | Clinic/Center | 1120 S. First Street, Immokalee, FL 34142 | 2012-01-13 |
| 1053437954 | Seminole Tribe of Florida | Pharmacy | 6401 Sheridan St, Hollywood, FL 33024-4138 | 2007-03-22 |
| 1033229497 | Seminole Tribe of Florida | Ambulance | Hc 61 Box 49, Clewiston, FL 33440-9502 | 2006-08-30 |
| Street Address |
30851 BUFFALO JIM LOOP ROAD |
| City | CLEWISTON |
| State | FL |
| Zip Code | 33440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072132 | Seminole Pharmacy | Pharmacy | 31055 Josie Billie Highway, Clewiston, FL 33440 | 2017-06-06 |
| 1184850901 | Elizabeth Boykin | Nurse Practitioner | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2009-06-08 |
| 1861683237 | Antoinette Marie Pavey-mcdaniel | Nurse Practitioner | 203 S Gloria St, Hendry Regional Corp Health, Clewiston, FL 33440 | 2007-08-09 |
| 1225229909 | Kurt Gabriel Hausy | Dentist | 316 E. Trinidad Ave., Clewiston, FL 33440 | 2007-08-07 |
| 1265565527 | Joanne Louise Vorhees | Nurse Practitioner | 1100 South Olympia St, Hendry County Health Department, Clewiston, FL 33440 | 2007-03-14 |
| 1831222850 | Richard J Anton | Optometrist | 1005 W. Sugarland Hwy, Walmart Nat Vision Cen, Clewiston, FL 33440 | 2007-03-13 |
| 1932278017 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 28280 E Tu Makee Way, Clewiston, FL 33440 | 2006-11-06 |
| 1720342173 | Vandhana Bhagwan Kiswani-barley | Family Medicine | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2012-06-29 |
| 1275782492 | Juan and John Drugs | Pharmacy | 340 E Sugarland Hwy, Suite B, Clewiston, FL 33440 | 2008-09-11 |
| 1750916417 | Play The Ot Way LLC | Occupational Therapist | 812 Laurel St, Clewiston, FL 33440-2428 | 2020-03-03 |
| Find all providers in zip 33440 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122337 | Life Line Medical Group Inc | Clinic/Center | 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 | 2020-10-20 |
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1205441615 | Washington Hills Primary Care | Clinic/Center | 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 | 2020-09-11 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 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.