MICHELLE P TELLADO (NPI# 1841635463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841635463 |
Entity Type | Individual |
Full Name | MICHELLE P TELLADO |
Credential | MD |
Practice Address |
1717 S Orange Ave Orlando FL 32806-2944 |
Mailing Address |
10140 Centurion Pkwy N Jacksonville FL 32256-0532 |
Practice Telephone | 3214521061 |
Mailing Telephone | 9046974100 |
Mailing Fax Number | 9046975102 |
Enumeration Date | 2013-05-09 |
Last Update Date | 2019-04-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | ME127519 | FL | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | ME127519 | FL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 018374500 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
270 N Sykes Creek Pkwy Ste 108, Merritt Island, FL 329533494 | 3214521061 | 3214530866 |
Street Address |
1717 S ORANGE AVE |
City | ORLANDO |
State | FL |
Zip Code | 32806-2944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124027867 | Wadih S. Macksoud | Orthopaedic Surgery | 1717 S Orange Ave, #103, Orlando, FL 32806-2944 | 2005-07-15 |
1700379385 | Children's Eyewear Center, Inc | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806 | 2018-06-08 |
1255838462 | Mark Vincent Mandese | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2018-04-12 |
1700325693 | Daniela Galvez Moreno | Behavioral Analyst | 1717 S Orange Ave, Orlando, FL 32806 | 2017-02-13 |
1194108928 | Krisann Draves | Nurse Practitioner | 1717 S Orange Ave, Suite 100, Orlando, FL 32806 | 2015-06-29 |
1437567989 | Jessica S Pierce | Psychologist | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2014-07-29 |
1609287481 | Maggie Hodges | Physical Medicine & Rehabilitation | 1717 S Orange Ave, Suite 101, Orlando, FL 32806-2944 | 2014-05-14 |
1619394384 | Aimee Molineaux | Dietitian, Registered | 1717 S Orange Ave, Suite #100, Orlando, FL 32806-2944 | 2014-03-19 |
1508298407 | Sandra Karen Conrad | Dietitian, Registered | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2946 | 2013-08-01 |
1679819494 | Stephanie Lynn Barber | Nurse Practitioner | 1717 S Orange Ave, Ste 100, Orlando, FL 32806-2946 | 2012-12-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
Find all providers in zip 32806 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1356961411 | Ileana Padilla | General Practice | 11521 Solaya Way Unit 307, Orlando, FL 32821-9453 | 2020-04-19 |
1376172965 | Sky Counseling Services LLC | General Practice | 12701 S John Young Pkwy Ste 202, Orlando, FL 32837-3422 | 2020-04-06 |
1174162853 | Gamalier Mestre | General Practice | 6001 Vineland Rd Ste 104, Orlando, FL 32819-7829 | 2019-12-30 |
1902448228 | Amilys Garcia Martin | General Practice | 1140 S Semoran Blvd Ste E, Orlando, FL 32807-1459 | 2019-10-09 |
1376005009 | Rejuvenation Care Clinic of Central Florida | General Practice | 12221 E Colonial Dr Apt 1105, Orlando, FL 32826-4762 | 2019-04-02 |
1073082236 | Medical Golden Clinic LLC | General Practice | 4365 Hunters Park Ln # 10, Orlando, FL 32837-7614 | 2018-11-16 |
1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
1366958910 | Orlando Therapy Center, Inc | General Practice | 6900 S Orange Blossom Trl Ste 300, Orlando, FL 32809-5736 | 2017-12-19 |
1679084164 | H&h Care Center LLC | General Practice | 707 Mendham Blvd Ste 104, Orlando, FL 32825-3245 | 2017-10-24 |
1356871735 | Rebeca Lidia Perez Sanchez | General Practice | 13017 Islamorada Dr, Orlando, FL 32837-4789 | 2017-06-18 |
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.