WILDWOOD PRIMARY CARE ASSOCIATES (NPI# 1801497953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801497953 |
| Entity Type | Organization |
| Organization Name | WILDWOOD PRIMARY CARE ASSOCIATES |
| Practice Address |
5814 Seven Mile Dr Ste 105 Wildwood FL 34785-8869 |
| Practice Telephone | 8132696426 |
| Mailing Telephone | 8132696426 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | JEANINE PEREZ (ADMIN) |
| Authorized Official Telephone | 8132696426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5814 SEVEN MILE DR STE 105 |
| City | WILDWOOD |
| State | FL |
| Zip Code | 34785-8869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075889 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5810 Seven Mile Drive, Wildwood, FL 34785 | 2020-02-13 |
| 1477183903 | Central Florida Premier Eye Associates | Optometrist | 5431 East State Road 44, Wildwood, FL 34785 | 2020-01-23 |
| 1174006399 | Village Discount Pharmacy | Pharmacy | 3990 E St 44 Suite 207, E Sr44 Suite 207, Wildwood, FL 34785 | 2018-09-13 |
| 1033582333 | Mls Homemaker/companion Service | In Home Supportive Care | 1406 County Road 228, Wildwood, FL 34785 | 2015-11-09 |
| 1225412604 | Safe Haven Assisted Living Facility, Inc | Respite Care | 2505 East Orange Ave., Eustis, FL 34785 | 2015-07-15 |
| 1477894343 | Kristen Jillene Hopper | Social Worker | 901 Industrial Dr, Wildwood, FL 34785 | 2013-03-02 |
| 1588632210 | Elaine E. Moorman | Nurse Practitioner | 411 N. Webster Street, Wildwood, FL 34785 | 2006-03-09 |
| 1134782501 | German Santiago Herrera Alzate | Physician Assistant | 846 Ne 54th Terrace, Widlwood, FL 34785 | 2019-04-20 |
| 1912492919 | Van Mai Vu | Optometrist | 846 Ne 54th Terrace, Wildwood, FL 34785 | 2018-06-22 |
| 1881720084 | Pedro Arroyo IIi | Surgery | 837 S Main St, Wildwood, FL 34785 | 2007-02-24 |
| Find all providers in zip 34785 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760588768 | Brenda Gail Izen | Family Medicine | 2638 Highway 109 Ste 101, Wildwood, MO 63040-1161 | 2006-09-16 |
| 1285608745 | Richard Gary Olarsch | Family Medicine | 4211 Pacific Ave, Wildwood, NJ 08260-4622 | 2006-02-13 |
| 1851390322 | Jerrold Randall Ecklind | Family Medicine | 300 S Main St, Wildwood, FL 34785-4542 | 2005-07-18 |
| 1629565932 | Mid Florida Physicians Group Inc. | Family Medicine | 300 S Main St, Wildwood, FL 34785-4542 | 2018-04-23 |
| 1265662068 | Bryan James Cannon | Family Medicine | 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | 2009-07-15 |
| 1659531366 | Richard G. Olarsch, Do PC | Family Medicine | 4211 Pacific Ave, Wildwood, NJ 08260-4622 | 2008-06-16 |
| 1154508893 | Brenda G Izen M.d. PC | Family Medicine | 2638 Highway 109, Suite 101, Wildwood, MO 63040-1161 | 2008-01-24 |
| 1477589422 | Michael Joseph Richardson | Family Medicine | 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | 2006-06-23 |
| 1902870561 | Lisa C Burns | Family Medicine | 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891777 | Medical Risk Solutions LLC | Family Medicine | 455 Ishie Ave, Bronson, FL 32621-6204 | 2020-11-06 |
| 1053912238 | New Port Richey Primary Care Associates | Family Medicine | 4772 Us Highway 19, New Port Richey, FL 34652-4944 | 2020-11-04 |
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1902407455 | Trek Healthcare LLC | Family Medicine | 11767 S Dixie Hwy # 208, Pinecrest, FL 33156-4438 | 2020-11-02 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1457950420 | Paxton Medical Management | Family Medicine | 14279 Tamiami Trl, North Port, FL 34287-2215 | 2020-10-21 |
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| 1134728561 | Invision Health Florida, LLC | Family Medicine | 7100 Camino Real Ste 200, Boca Raton, FL 33433-5510 | 2020-10-17 |
| 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.