GASTROENTEROLOGY & LIVER CONSULTANTS, P.L (NPI# 1790782258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790782258 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY & LIVER CONSULTANTS, P.L |
| Practice Address |
1403 Medical Plaza Dr Suite 206 Sanford FL 32771-1000 |
| Practice Telephone | 4073229530 |
| Practice Fax Number | 4073229534 |
| Mailing Telephone | 4073229530 |
| Mailing Fax Number | 4073229534 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. FELIX ANGEL NAVARRO (MANAGING MEMBER) |
| Authorized Official Telephone | 4073229530 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME38903 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1403 MEDICAL PLAZA DR SUITE 206 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213234 | Bhupinder S Mangat | Specialist | 1403 Medical Plaza Dr, Ste 204, Sanford, FL 32771-1047 | 2005-05-23 |
| 1164881751 | Matthew Combes | Physician Assistant | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2016-02-11 |
| 1710345723 | Ramon Luis Vega | Chiropractor | 1403 Medical Plaza Dr, Ste 100, Sanford, FL 32771-1000 | 2016-02-04 |
| 1477918415 | The Urology Center | Urology | 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 | 2015-12-17 |
| 1548636830 | Paula Wright | Social Worker | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2015-08-20 |
| 1215270764 | Orlando Mota-aquino | Pediatrics | 1403 Medical Plaza Dr, Suite 104, Sanford, FL 32771-1000 | 2013-04-03 |
| 1427340975 | Active Pain and Injury Inc | Pain Medicine | 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771-1000 | 2011-05-03 |
| 1861636078 | Andrew Craig Skattum | Surgery | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2009-05-01 |
| 1417197393 | Seminole Neurology Associates Pa | Specialist | 1403 Medical Plaza Dr, Suite 204, Sanford, FL 32771-1000 | 2009-03-04 |
| 1700052214 | Jessica K Shutt | Clinical Nurse Specialist | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2008-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1891794954 | Lenkala R Mallaiah | Internal Medicine | 311 N Mangoustine Ave, Sanford, FL 32771-1098 | 2005-07-20 |
| 1265438600 | Marion Butler Pate IIi | Internal Medicine | 110 Dennis Dr, Sanford, NC 27330-6343 | 2005-06-21 |
| 1154328607 | Felix Angel Navarro Jr. | Internal Medicine | 1403 Medical Plaza Dr, Suite 206, Sanford, FL 32771-1000 | 2005-06-30 |
| 1689670036 | Robert Donnell Mccall Jr. | Internal Medicine | 110 Dennis Dr, Sanford, NC 27330-6343 | 2005-06-21 |
| 1467458802 | Behnam Asgharian | Internal Medicine | 110 Dennis Dr, Sanford, NC 27330-6343 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| 1598258493 | Gulf Coast Health Centers Corp | Internal Medicine | 6300 Corporate Ct Unit 106, Fort Myers, FL 33919-3513 | 2018-06-14 |
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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.