DANIELA KASSABOV (NPI# 1811218613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811218613 |
| Entity Type | Individual |
| Full Name | DANIELA KASSABOV |
| Other Name | DANIELA DRAGANOVA |
| Credential | MD |
| Practice Address |
11505 Palmbrush Trl Suite 220 Lakewood Ranch FL 34202-2915 |
| Mailing Address |
Po Box 850001 Orlando FL 32885-0001 |
| Practice Telephone | 9417472090 |
| Practice Fax Number | 9415567785 |
| Mailing Telephone | 9417472090 |
| Mailing Fax Number | 9415567785 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2013-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME116023 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11015346A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
11505 PALMBRUSH TRL SUITE 220 |
| City | LAKEWOOD RANCH |
| State | FL |
| Zip Code | 34202-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700959590 | Nicholas Lancia | Pathology | 11505 Palmbrush Trl, Suite 120, Lakewood Ranch, FL 34202-2915 | 2006-11-17 |
| 1720480643 | Diane Pearce | Nurse Practitioner | 11505 Palmbrush Trl, Suite 200, Lakewood Ranch, FL 34202-2915 | 2014-09-23 |
| 1912311895 | Nora Clemens | Nutritionist | 11505 Palmbrush Trl, Lakewood Ranch, FL 34202-2915 | 2014-06-18 |
| 1609216175 | Florida Medical Specialists, LLC | Dermatology | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2013-06-28 |
| 1396185047 | Florida Medical Specialists, LLC | Physical Medicine & Rehabilitation | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2013-06-26 |
| 1730422320 | Florida Medical Specialists LLC | Internal Medicine | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2013-04-01 |
| 1598057630 | Wesley Stephen Hardin | Physician Assistant | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2011-05-09 |
| 1629245683 | Tonantzin Matheus | Internal Medicine | 11505 Palmbrush Trl, Suite 200, Lakewood Ranch, FL 34202-2915 | 2008-05-09 |
| 1649490095 | Jill Christin Rose | Physical Therapist | 11505 Palmbrush Trl, Lakewood Ranch, FL 34202-2917 | 2007-04-26 |
| 1871628529 | Hung-wei Lee | Pathology | 11505 Palmbrush Trl, Suite 120, Lakewood Ranch, FL 34202-2915 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| 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 |
|---|---|---|---|---|
| 1912385162 | Md Now of Florida LLC | Family Medicine | 6948 Professional Pkwy E, Lakewood Ranch, FL 34240-8414 | 2015-05-08 |
| 1659655207 | Laura Mcgill | Family Medicine | 8806 White Sage Loop, Lakewood Ranch, FL 34202-6406 | 2011-09-30 |
| 1992919104 | Jose V Briceno | Family Medicine | 11505 Palmbrush Trl Ste 220, Lakewood Ranch, FL 34202-2915 | 2007-05-09 |
| 1033154422 | Andrea Kreithen | Family Medicine | 7270 Kyle Ct, Lakewood Ranch, FL 34240-8435 | 2006-06-18 |
| 1902899321 | Suzette Pinto | Family Medicine | 14616 State Road 70 E, Lakewood Ranch, FL 34202-8413 | 2005-08-31 |
| 1760821227 | Claire Ellen Mcgill | Family Medicine | 8340 Lakewood Ranch Blvd Ste 210, Lakewood Ranch, FL 34202-5185 | 2013-06-18 |
| 1639496540 | Lwr Family Practice Walk-in Pl | Family Medicine | 10910 E State Road 70, Suite 102, Lakewood Ranch, FL 34202-8406 | 2010-05-02 |
| 1659532935 | Kathleen Mary Boyle | Family Medicine | 8340 Lakewood Ranch Blvd Ste 210, Lakewood Ranch, FL 34202-5185 | 2008-06-19 |
| 1093975062 | Lakewood Ranch Medical Group LLC | Family Medicine | 8340 Lakewood Ranch Blvd, Suite 140, Lakewood Ranch, FL 34202-5180 | 2008-06-13 |
| 1215139498 | Manoj Mathew | Family Medicine | 8330 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202-5174 | 2007-06-01 |
| Find all providers in LAKEWOOD RANCH | ||||
| City | LAKEWOOD RANCH |
| Zip Code | 34202 |
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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.