LAUREL OAKS FAMILY PRACTICE PA (NPI# 1881784031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881784031 |
| Entity Type | Organization |
| Organization Name | LAUREL OAKS FAMILY PRACTICE PA |
| Other Organization Name | CLERMONT HEALTHCARE |
| Practice Address |
2711 Maguire Rd Ocoee FL 34761 |
| Practice Telephone | 4078771990 |
| Practice Fax Number | 4078771995 |
| Mailing Telephone | 4078771990 |
| Mailing Fax Number | 4078771995 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | MR. JAMES B WILSON JR. (PRESIDENT) |
| Authorized Official Telephone | 4078771990 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ========= | Allopathic & Osteopathic Physicians | |
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clermont Healthcare | Doing Business As Name - Organization |
| Street Address |
2711 MAGUIRE RD |
| City | OCOEE |
| State | FL |
| Zip Code | 34761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171463 | Matthew Bret Harrison | Family Medicine | 2711 Maguire Rd, Ocoee, FL 34761-4797 | 2006-06-12 |
| 1598393597 | West Orange Women's Care | Obstetrics & Gynecology | 2711 Maguire Rd, Ocoee, FL 34761-4797 | 2020-03-27 |
| 1346567484 | Laurel Oaks Family Practice of Central Florida Pa | Family Medicine | 2711 Maguire Rd, Ocoee, FL 34761-4797 | 2010-04-29 |
| 1669560751 | Shereen Ibrahim Oloufa | Obstetrics & Gynecology | 2711 Maguire Rd, Ocoee, FL 34761-4797 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736186 | Alyson Foisy | Behavior Technician | 2930 Maguire Road, Suite 200, Ocoee, FL 34761 | 2020-07-05 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
| 1912533027 | Fm Dental, LLC | Clinic/Center | 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 | 2020-03-20 |
| 1518509330 | Noel Christine Montoya | Behavior Technician | 2930 Maguire Rd Suite 200, Ocoee, FL 34761 | 2019-10-14 |
| 1346895166 | Dentists of Ocoee, Pa | Dentist | 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 | 2019-08-08 |
| 1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
| 1740844422 | Angela Renee's Home Care LLC | In Home Supportive Care | 2398 Cory Ct, Ocoee, FL 34761 | 2019-04-27 |
| 1346713492 | Orlando Health Central, Inc. | Skilled Nursing Facility | 1300 Hempel Avenue, Ocoee, FL 34761 | 2019-01-10 |
| 1609352970 | Agape's Way, Inc | Nursing Care | 1851 Sparkling Water Circle, Ocoee, FL 34761 | 2018-07-19 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.