AESTHETIC OSTEOPATHIC GROUP (NPI# 1811148190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811148190 |
| Entity Type | Organization |
| Organization Name | AESTHETIC OSTEOPATHIC GROUP |
| Practice Address |
4355 Bear Gully Rd Winter Park FL 32792-9422 |
| Practice Telephone | 9547522715 |
| Mailing Telephone | 9547522715 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |
| Authorized Official Name | MICHAEL FLICKER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9548350005 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
4355 BEAR GULLY RD |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386711166 | Jeffrey Michael Hartog | Plastic Surgery | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2006-11-29 |
| 1093177941 | Elizabeth Rose Montoya | Nurse Practitioner | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2016-03-21 |
| 1740651470 | Michelle Glowacki Hartog | Nurse Practitioner | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2015-10-07 |
| 1518234962 | Jeffrey M Hartog, D.m.d., M.d., P.a. | Specialist | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2011-11-29 |
| 1255616801 | Sherry P Swenson Ziebell | Nurse Practitioner | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2011-10-14 |
| 1851676407 | Surgan Medical Management | Specialist | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2011-10-14 |
| 1861653685 | Aesthetic Surgery Center of Winter Park, LLC | Clinic/Center | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316500796 | Bright Health Clinic Corp | General Practice | 3592 Aloma Ave Ste 5, Winter Park, FL 32792-4012 | 2019-04-21 |
| 1104304013 | Limitless Options, LLC. | General Practice | 201 N Lakemont Ave Ste 2100, Winter Park, FL 32792-3208 | 2018-08-02 |
| 1356705677 | Chuka Godwin Enebeli | General Practice | 2859 Red Lion Sq, Winter Park, FL 32792-1039 | 2016-04-12 |
| 1588086953 | Medi Winter Park LLC | General Practice | 1234 W Fairbanks Ave, Winter Park, FL 32789-4890 | 2014-01-20 |
| 1831317056 | Marina Pizarro | General Practice | 147 E Lyman Ave, Suite D, Winter Park, FL 32789-4396 | 2007-04-23 |
| 1811041569 | Ronald Dean Lippmann | General Practice | 941 W Morse Blvd, Ste 100, Winter Park, FL 32789-3734 | 2007-01-22 |
| 1548335201 | Richard W Anderson Jr. | General Practice | 1 Purlieu Place, Suite 131, Winter Park, FL 32792 | 2006-11-21 |
| 1891708020 | Mobile Medical Advantage Inc | General Practice | 1 Purliece Place, Suite 131, Winter Park, FL 32792 | 2006-08-15 |
| 1205368073 | Central Florida Wellness LLC | General Practice | 1234 W Fairbanks Ave, Winter Park, FL 32789 | 2017-03-31 |
| 1346441631 | Maria Mireya Nunez | General Practice | 120 Benmore Dr, Winter Park, FL 32792-4101 | 2007-05-31 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32792 |
Please comment or provide details below to improve the information on AESTHETIC OSTEOPATHIC GROUP.
| 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.