HEALTHWORKS MED GROUP OF FLORIDA P A (NPI# 1831346642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831346642 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MED GROUP OF FLORIDA P A |
| Other Organization Name | CENTER FOR LIVING WELL |
| Practice Address |
960 Back Stage Ln Lake Buena Vista FL 32830-8472 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 4079344100 |
| Practice Fax Number | 4079344101 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Living Well | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976401 | Healthworks Med Group of Florida P A | Clinic/Center | 8705 Henderson Rd, Tampa, FL 33634-1143 | 2020-03-10 |
| 1811554892 | Healthworks Med Group of Florida P A | Clinic/Center | 3101 Navy Federal Way, Pensacola, FL 32526-7878 | 2019-05-24 |
| 1225557721 | Healthworks Med Group of Florida P A | Clinic/Center | 498 Oak Rd Bldg 4, Ocala, FL 34472-3006 | 2017-09-15 |
| 1174042600 | Healthworks Med Group of Florida P A | Clinic/Center | 100 Global Innovation Cir, Orlando, FL 32825-5003 | 2017-09-15 |
| 1982123592 | Healthworks Med Group of Florida P A | Clinic/Center | 498 Oak Rd Bldg 3, Ocala, FL 34472-3006 | 2017-09-14 |
| 1164962197 | Healthworks Med Group of Florida P A | Clinic/Center | 6505 Blue Lagoon Dr, 2nd Floor, Miami, FL 33126-6009 | 2017-02-23 |
| 1699120840 | Healthworks Med Group of Florida P A | Clinic/Center | 4450 Nw 22nd Street Building 3095, Concourse D/e, Md 3000, Miami, FL 33122 | 2016-04-25 |
| 1326475278 | Healthworks Med Group of Florida P A | Clinic/Center | 5550 Heritage Oaks Dr, Pensacola, FL 32526-7859 | 2013-10-08 |
| 1285983585 | Healthworks Med Group of Florida P A | General Practice | 7455 Chancellor Dr, Orlando, FL 32809-6213 | 2012-08-31 |
| 1295039113 | Healthworks Med Group of Florida P A | Clinic/Center | 9700 Sw 344th St, Homestead, FL 33035-1800 | 2011-01-06 |
| Street Address |
960 BACK STAGE LN |
| City | LAKE BUENA VISTA |
| State | FL |
| Zip Code | 32830-8472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497936462 | Lisa Clayville Martin | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2007-11-19 |
| 1295346328 | Danielle Bohrer | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2020-08-12 |
| 1114538303 | Haley Lang | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2020-08-12 |
| 1649765710 | Phuong K Ong | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2018-06-29 |
| 1629348891 | Justine Marie Tran | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830 | 2012-01-05 |
| 1295036697 | Jeffrey Thomas Nelson | Family Medicine | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2010-11-16 |
| 1285867770 | Sarah Sumrall | Physician Assistant | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2009-08-31 |
| 1093955346 | Kurtis B Mohr | Family Medicine | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2009-02-26 |
| 1912172529 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699045096 | Daniel Wackerly | Pharmacist | 960 Backstage Ln, Lake Buena Vista, FL 32830 | 2012-01-03 |
| 1760752174 | Katie Anne Jadra | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-03 |
| 1437362761 | Boris Fabricio Onate | Family Medicine | 960 Back Stage Lane, Lake Buena Vista, FL 32830 | 2007-05-07 |
| 1568594257 | Sharon Rae Krumins | Internal Medicine | 950 Backstage Lane, Health Services Walt Disney World, Lake Buena Vista, FL 32830 | 2007-03-09 |
| 1215422068 | Mary Cisco | Nurse Practitioner | 950 Backstage Lane, Orlando, FL 32830 | 2018-06-25 |
| 1265702500 | Melvin Nguyen | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-04 |
| 1831469105 | Thomas Robert Dyroff | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-04 |
| 1750509055 | Steven Vonsee | Family Medicine | 950 Backstage Lane, Lake Buena Vista, FL 32830 | 2007-04-23 |
| 1194859025 | Michael Wayne Hankins | Family Medicine | 950 Backstage Lane, Lake Buena Vista, FL 32830 | 2007-03-15 |
| 1689809105 | Christian Robert Marks | Specialist/Technologist | 1478 E Buena Vista Dr, Lake Buena Vista, FL 32830-8422 | 2009-05-28 |
| Find all providers in zip 32830 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BUENA VISTA |
| Zip Code | 32830 |
Please comment or provide details below to improve the information on HEALTHWORKS MED GROUP OF FLORIDA P A.
| 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.