BRIAN PULAYYA (NPI# 1780126839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780126839 |
| Entity Type | Individual |
| Full Name | BRIAN PULAYYA |
| Practice Address |
717 E Oak St Kissimmee FL 34744-4580 |
| Mailing Address |
719 E Oak St Kissimmee FL 34744-4580 |
| Practice Telephone | 4078460533 |
| Practice Fax Number | 4075181730 |
| Mailing Telephone | 4078460533 |
| Mailing Fax Number | 4075181730 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAT9109984 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | PAT 9109984 | 01 |
| Street Address |
717 E OAK ST |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34744-4580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174576995 | Hector M Acevedo | Social Worker | 717 E Oak St, Kissimmee, FL 34744-4580 | 2006-05-19 |
| 1467995803 | Robert Bennett | Physician Assistant | 717 E Oak St, Kissimmee, FL 34744-4580 | 2016-12-01 |
| 1790146371 | Jearene Ivette Binet | Social Worker | 717 E Oak St, Kissimmee, FL 34744-4580 | 2016-03-10 |
| 1124462353 | Claudia S Williams | Counselor | 717 E Oak St, Kissimmee, FL 34744 | 2013-04-18 |
| 1477744548 | Mindful Behavioral Healthcare, LLC | Psychiatry & Neurology | 717 E Oak St, Kissimmee, FL 34744-4580 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
| 1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
| 1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
| 1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
| 1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
| 1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
| Find all providers in zip 34744 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262514 | Vineland Medical Care LLC | Physician Assistant | 1319 E Vine St, Kissimmee, FL 34744-3642 | 2014-03-12 |
| 1144560442 | Amy Jensen | Physician Assistant | 222 Broadway Unit 301, Kissimmee, FL 34741-5767 | 2013-02-22 |
| 1013261643 | Ernest Rinaldi | Physician Assistant | 410 Celebration Pl Ste 106, Kissimmee, FL 34747-5432 | 2012-11-05 |
| 1578542627 | Joseph E Proctor | Physician Assistant | 2551 Boggy Creek Rd, Kissimmee, FL 34744-3806 | 2006-01-16 |
| 1144860032 | Sundus Rahman | Physician Assistant | 102 Park Place Blvd Ste 3, Kissimmee, FL 34741-2358 | 2020-01-08 |
| 1427692292 | Christopher Joseph Carniglia | Physician Assistant | 204 W Oak St, Kissimmee, FL 34741-4420 | 2019-11-04 |
| 1356990253 | Ruben Dario Morillo | Physician Assistant | 204 W Oak St, Kissimmee, FL 34741-4420 | 2019-09-04 |
| 1730673062 | Roberto Rafael Baldassarre | Physician Assistant | 3293 Greenwald Way N, Kissimmee, FL 34741-0772 | 2018-06-20 |
| 1417496522 | Lumary Matos | Physician Assistant | 931 W Oak St Ste 103, Kissimmee, FL 34741-4973 | 2017-02-22 |
| 1467995803 | Robert Bennett | Physician Assistant | 717 E Oak St, Kissimmee, FL 34744-4580 | 2016-12-01 |
| Find all providers in KISSIMMEE | ||||
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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.