FLORIDA CONCIERGE DENTAL CARE, P.A. (NPI# 1821520693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821520693 |
| Entity Type | Organization |
| Organization Name | FLORIDA CONCIERGE DENTAL CARE, P.A. |
| Other Organization Name | ORLANDO LIFESTYLE DENTISTRY |
| Practice Address |
6000 Turkey Lake Rd #109 Orlando FL 32819-4200 |
| Practice Telephone | 4075476453 |
| Mailing Telephone | 4075476453 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | MICHAEL GAGAOUDAKIS (PRESIDENT) |
| Authorized Official Telephone | 9548300030 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN17757 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Orlando Lifestyle Dentistry | Doing Business As Name - Organization |
| Street Address |
6000 TURKEY LAKE RD #109 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629037452 | Select Physical Therapy Holdings Inc | Clinic/Center | 6000 Turkey Lake Rd, Ste 203, Orlando, FL 32819 | 2006-03-21 |
| 1356961270 | Holly Bottura | Occupational Therapist | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2020-04-21 |
| 1912548751 | Stephanie Levine | Nurse Practitioner | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2019-10-02 |
| 1982196150 | Vanessa Lynn Chevere | Occupational Therapy Assistant | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2018-06-04 |
| 1679062525 | Alison Bongo | Speech-Language Pathologist | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2018-05-07 |
| 1619485562 | Shanita Venise Tyson | Occupational Therapist | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2018-01-12 |
| 1255852935 | Anna-liisa Dehner | Occupational Therapist | 6000 Turkey Lake Rd, Suite 114, Orlando, FL 32819-4205 | 2017-07-03 |
| 1487187266 | Karl Gregory Kurtz | Occupational Therapist | 6000 Turkey Lake Rd, #114, Orlando, FL 32819-4200 | 2017-04-07 |
| 1023559119 | Danielle Sanders | Occupational Therapy Assistant | 6000 Turkey Lake Rd, #114, Orlando, FL 32819-4200 | 2017-03-09 |
| 1720539737 | Luann Paz | Occupational Therapy Assistant | 6000 Turkey Lake Rd, Orlando, FL 32819-4200 | 2016-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139697 | Curry Ford Dental | Clinic/Center | 5946 Curry Ford Rd Ste 101, Orlando, FL 32822-4209 | 2020-06-19 |
| 1609402197 | Conway Oaks Dental | Clinic/Center | 3221 Conway Rd Ste A, Orlando, FL 32812-7354 | 2020-03-17 |
| 1528601309 | Sagori Dental Inc. | Clinic/Center | 6000 Turkey Lake Rd Ste 109, Orlando, FL 32819-4205 | 2019-10-23 |
| 1972145324 | Esteem Holdings LLC | Clinic/Center | 13559 Narcoossee Rd, Orlando, FL 32832-7136 | 2019-10-16 |
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1700374212 | Z Maali Dental Inc. | Clinic/Center | 7932 W Sand Lake Rd Ste 301, Orlando, FL 32819-7230 | 2018-04-30 |
| 1861943870 | South Familia Dental Pa | Clinic/Center | 12720 S Orange Blossom Trl Ste 22, Orlando, FL 32837-6227 | 2016-10-14 |
| 1881143089 | Orlando Dentist and Denture Lab LLC | Clinic/Center | 4929 S Orange Ave, Orlando, FL 32806-6932 | 2016-09-28 |
| 1285000141 | Frederick Palacios Dds Pa | Clinic/Center | 531 S Chickasaw Trl, Orlando, FL 32825-7801 | 2015-08-14 |
| 1134503246 | Eds Dental Clinic Inc | Clinic/Center | 251 E Michigan St, Orlando, FL 32806-4537 | 2015-07-17 |
| Find all providers in ORLANDO | ||||
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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.