ORLANDO MILLS FL ENDOSCOPY ASC LLC (NPI# 1902079775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902079775 |
| Entity Type | Organization |
| Organization Name | ORLANDO MILLS FL ENDOSCOPY ASC LLC |
| Other Organization Name | CENTER FOR DIGESTIVE ENDOSCOPY |
| Practice Address |
1817 N Mills Ave Orlando FL 32803-1853 |
| Practice Telephone | 4078961726 |
| Mailing Telephone | 4078961726 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | MR. PHILLIP A. CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1139 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Digestive Endoscopy | Doing Business As Name - Organization |
| Street Address |
1817 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952084 | Earlyne L Rodriguez | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2005-09-12 |
| 1568829323 | Orlando Mills Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2016-01-25 |
| 1083009328 | Jacqueline Larrea | Nurse Practitioner | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2015-04-03 |
| 1922311448 | Endoscopic Anesthesia Group, P.a. | Anesthesiology | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2010-07-26 |
| 1588716492 | Marlon Ilagan | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2007-01-18 |
| 1598795031 | Sandi C Franklin | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2006-07-03 |
| 1750320099 | Gastroenterology Assoc of Central Fl | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| 1154360493 | William Mayoral | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| 1598704843 | William Brandon Ruderman | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| 1932148285 | Henry Levine | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755436 | Biospine Orlando | Clinic/Center | 3900 Millenia Blvd, Orlando, FL 32839-6407 | 2019-02-07 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1164922530 | Fresenius Vascular Care Four Corners Asc LLC | Clinic/Center | 1405 S Orange Ave Ste 120, Orlando, FL 32806 | 2018-02-13 |
| 1326309394 | Advanced Surgery Center of Orlando LLC | Clinic/Center | 6900 Turkey Lake Rd Ste 2-5, Orlando, FL 32819-4707 | 2012-06-06 |
| 1336445873 | Sand Lake Surgicenter LLC | Clinic/Center | 7477 Sandlake Commons Blvd, Orlando, FL 32819-8034 | 2011-02-01 |
| 1356654610 | Endo-surgical Center of Florida | Clinic/Center | 100 North Dean Road, Suite 102, Orlando, FL 32825 | 2010-07-15 |
| 1457545980 | Sand Lake Surgery Center, Lp | Clinic/Center | 7477 Sand Lake Commons Blvd, Orlando, FL 32819-8034 | 2007-08-28 |
| 1598980690 | Tcorp Inc | Clinic/Center | 2013 E Jefferson Street, Orlando, FL 32803 | 2007-04-16 |
| 1285752717 | Richard Arabitg | Clinic/Center | 8940 Conroy-windemere Rd., Orlando, FL 32835 | 2007-03-26 |
| 1881736734 | Millenia Surgery Center LLC | Clinic/Center | 4901 Vineland Rd, Suite 150, Orlando, FL 32811-7300 | 2007-02-13 |
| 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.