DR. ELIZABETH MUDDIMAN CEFALU (NPI# 1811956683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811956683 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MUDDIMAN CEFALU |
| Credential | M.D., M.P.H. |
| Practice Address |
2566 Commerce Parkway Unit #2 North Port FL 34289-9338 |
| Mailing Address |
2566 Commerce Pkwy North Port FL 34289-9338 |
| Practice Telephone | 9418885839 |
| Practice Fax Number | 9418885840 |
| Mailing Telephone | 9418885839 |
| Mailing Fax Number | 9418885840 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME108366 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD069042L | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ME108366 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015644200005 | 05 | |
| FL | RR MEDICARE | P00913647 | 01 |
| FL | BCBS FLORIDA | 14AC7 | 01 |
| PA | 0017552440002 | 05 | |
| FL | 002888900 | 05 |
| Street Address |
2566 COMMERCE PARKWAY UNIT #2 |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34289-9338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477085439 | Heather Proctor | Counselor | 2571 N Toledo Blade Blvd Unit 3, North Port, FL 34289 | 2017-03-29 |
| 1649538281 | Lisa Beth Gussin | Counselor | 2562 Commerce Parkway, North Port, FL 34289 | 2012-05-02 |
| 1790090538 | Flagel Pediatric & Family Medicine P A | Clinic/Center | 2572 Commerce Parkway, North Port, FL 34289 | 2010-08-17 |
| 1427101773 | Belinda Alma | Counselor | 2564 Commerce Pkwy., Suite 1, North Port, FL 34289 | 2007-01-19 |
| 1659477727 | Mark C Burne | Dentist | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2006-09-16 |
| 1710119177 | North Port Oral Surgery Inc. | Clinic/Center | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2009-08-19 |
| 1184885014 | Maytal Adlersberg | Physical Therapy Assistant | 2334 Rosewood Ln, North Port, FL 34289-1404 | 2008-06-23 |
| 1578698346 | Daniela Sodre | Speech-Language Pathologist | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2007-02-22 |
| 1316551765 | Heather Sifford | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-09-03 |
| 1619590460 | Cassie Wills | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| Find all providers in zip 34289 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1003133455 | North Port Primary Care Association Pl | Internal Medicine | 2500 Bobcat Village Center Rd Unit E, North Port, FL 34288-8476 | 2010-04-26 |
| 1659437093 | Esenbike Bek | Internal Medicine | 14806 Tamiami Trl, North Port, FL 34287-2701 | 2006-12-29 |
| 1447314190 | Girish D. Patel | Internal Medicine | 2500 Bobcat Village Center Rd, Suite E, North Port, FL 34288 | 2006-12-20 |
| 1063528230 | Juan M Masi | Internal Medicine | 14400 Tamiami Trl, North Port, FL 34287-2703 | 2006-08-21 |
| 1285687434 | Sarfraz A Islam | Internal Medicine | 14575 Tamiami Trail, North Port, FL 34287 | 2006-05-18 |
| 1912970542 | Pamela Miller | Internal Medicine | 14575 Tamiami Trl, North Port, FL 34287-2729 | 2006-02-13 |
| 1003807645 | Scott D. Lunin | Internal Medicine | 3085 Bobcat Village Center Rd, North Port, FL 34288-8972 | 2005-11-02 |
| 1063865418 | Philippe Noel Md and Anna Berenstein Md Pa | Internal Medicine | 5400 S Biscayne Dr, B, North Port, FL 34287-1932 | 2016-07-21 |
| 1053618397 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 14575 Tamiami Trl, North Port, FL 34287-2729 | 2011-02-23 |
| 1568565661 | Marcus James Foos | Internal Medicine | 6950 Outreach Way, North Port, FL 34287-3405 | 2006-09-06 |
| Find all providers in NORTH PORT | ||||
| City | NORTH PORT |
| Zip Code | 34289 |
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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.