AESTHETIC SURGERY CENTER OF WINTER PARK, LLC (NPI# 1861653685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861653685 |
| Entity Type | Organization |
| Organization Name | AESTHETIC SURGERY CENTER OF WINTER PARK, LLC |
| Practice Address |
4355 Bear Gully Rd Winter Park FL 32792-9422 |
| Practice Telephone | 3212820561 |
| Practice Fax Number | 3212820565 |
| Mailing Telephone | 3212820561 |
| Mailing Fax Number | 3212820565 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | DR. JEFFREY M. HARTOG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3212820561 |
| Authorized Official Credential | D.M.D., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1199 | FL | Ambulatory Health Care Facilities |
| Street Address |
4355 BEAR GULLY RD |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386711166 | Jeffrey Michael Hartog | Plastic Surgery | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2006-11-29 |
| 1093177941 | Elizabeth Rose Montoya | Nurse Practitioner | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2016-03-21 |
| 1740651470 | Michelle Glowacki Hartog | Nurse Practitioner | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2015-10-07 |
| 1518234962 | Jeffrey M Hartog, D.m.d., M.d., P.a. | Specialist | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2011-11-29 |
| 1255616801 | Sherry P Swenson Ziebell | Nurse Practitioner | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2011-10-14 |
| 1851676407 | Surgan Medical Management | Specialist | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2011-10-14 |
| 1811148190 | Aesthetic Osteopathic Group | Anesthesiology | 4355 Bear Gully Rd, Winter Park, FL 32792-9422 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295258416 | Pumpkin Patch Ambulatory Surgical Center, LLC | Clinic/Center | 1500 S Orlando Ave, Winter Park, FL 32789-5500 | 2017-07-19 |
| 1073737557 | Mua Center of Orlando, LLC | Clinic/Center | 132 Benmore Dr, Winter Park, FL 32792-4101 | 2007-04-13 |
| 1417912353 | Winter Park Surgery Center Lp | Clinic/Center | 2056 Aloma Ave, Suite 200, Winter Park, FL 32792-3340 | 2006-04-20 |
| 1326003187 | Surgical Center Associates Ltd | Clinic/Center | 1000 S Orlando Ave, Winter Park, FL 32789-4851 | 2006-04-17 |
| 1003813221 | University Surgery Center Ltd | Clinic/Center | 7251 University Blvd, Ste 100, Winter Park, FL 32792-8659 | 2005-07-01 |
| 1447575519 | A&m Endeavors LLC Series 2, Fertility Care Ivf Division | Clinic/Center | 5931 Brick Ct, Winter Park, FL 32792-9304 | 2010-04-01 |
| 1770724122 | National Surgical Centers of America LLC | Clinic/Center | 1693 Lee Rd, Suite A, Winter Park, FL 32789-2260 | 2009-03-16 |
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|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
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| City | WINTER PARK |
| Zip Code | 32792 |
Please comment or provide details below to improve the information on AESTHETIC SURGERY CENTER OF WINTER PARK, LLC.
| 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.