TATIANA FERNANDEZ BOTERO (NPI# 1912486028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912486028 |
| Entity Type | Individual |
| Full Name | TATIANA FERNANDEZ BOTERO |
| Practice Address |
7975 Lake Underhill Rd Orlando FL 32822-8202 |
| Mailing Address |
7975 Lake Underhill Rd Ste 345 Orlando FL 32822-8209 |
| Practice Telephone | 4073038626 |
| Mailing Telephone | 4073038626 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PTA21773 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
7975 LAKE UNDERHILL RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32822-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968633 | David A Grubbs | Optometrist | 7975 Lake Underhill Rd, Ste 230, Orlando, FL 32822-8204 | 2005-10-31 |
| 1396364394 | Thomas Daniel Ferrise | Student in an Organized Health Care Education/Training Program | 7975 Lake Underhill Rd, Orlando, FL 32822-8202 | 2020-04-10 |
| 1417594649 | Diana Ofelia Bosquez | Speech-Language Pathologist | 7975 Lake Underhill Rd, Orlando, FL 32822-8202 | 2019-12-06 |
| 1821510942 | Jessica Martin | Speech-Language Pathologist | 7975 Lake Underhill Rd, Orlando, FL 32822-8202 | 2017-07-11 |
| 1578085874 | Anita Burkhalter | Speech-Language Pathologist | 7975 Lake Underhill Rd, Orlando, FL 32822-8202 | 2017-07-10 |
| 1952842932 | Dolor Akpore | Student in an Organized Health Care Education/Training Program | 7975 Lake Underhill Rd, Orlando, FL 32822-8202 | 2017-03-10 |
| 1467812198 | Leah Frank | Student in an Organized Health Care Education/Training Program | 7975 Lake Underhill Rd, Suite 210, Orlando, FL 32822-8202 | 2016-02-23 |
| 1275901951 | Adventist Health System Sunbelt Inc | Family Medicine | 7975 Lake Underhill Rd, Suite 200, Orlando, FL 32822-8202 | 2015-09-11 |
| 1285069393 | Travis Gordon | Family Medicine | 7975 Lake Underhill Rd, Suite 210, Orlando, FL 32822-8202 | 2013-09-08 |
| 1649602780 | Jeremy Bigham | Family Medicine | 7975 Lake Underhill Rd, Suite 120, Orlando, FL 32822-8202 | 2013-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697335 | Julie C Figaro | Physical Therapy Assistant | 7209 Curry Ford Ste E, Orlando, FL 32822 | 2020-10-26 |
| 1912411240 | Advanced Mobility of Central Florida Corp | Durable Medical Equipment & Medical Supplies | 5844 S. Semoran Blvd., Orlando, FL 32822 | 2017-11-22 |
| 1467965434 | Ashley Morgan Mcglashen | Behavior Technician | 5773 Gatlin Ave, Orlando, FL 32822 | 2017-11-13 |
| 1801315312 | Ashleigh Boyle | Counselor | 5768 S. Semoran Blvd, Orlando, FL 32822 | 2017-09-15 |
| 1528584943 | Carlos Mario Davila Sr. | Psychologist | 7113 Lakner Way, Orlando, FL 32822 | 2017-08-17 |
| 1760922876 | Guardians of Care, LLC | Family Medicine | 733 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2017-03-08 |
| 1457808529 | Rachel Richardson | Counselor | 5758 S. Seminole Blvd., Orlando, FL 32822 | 2016-09-07 |
| 1215392154 | Teresita Henao | Nurse Practitioner | 900 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2015-12-18 |
| 1407221831 | Jennifer Castro | Psychologist | 4153 S Semoran, Unit 10, Orlando, FL 32822 | 2015-12-10 |
| 1821466616 | Miguel Yanes Delgado | Nurse Practitioner | 5564 East Grant St, Orlando, FL 32822 | 2015-09-10 |
| Find all providers in zip 32822 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194298216 | Courtney Quinn | Physical Medicine & Rehabilitation | 6233 Royal Tern St, Orlando, FL 32810-6085 | 2019-01-11 |
| 1649271446 | Daniel Louis Arnold | Physical Medicine & Rehabilitation | 9685 Lake Nona Village Pl Ste 205, Orlando, FL 32827 | 2005-08-03 |
| 1215578638 | Steven M Golden | Physical Medicine & Rehabilitation | 5018 Dr Phillips Blvd, Orlando, FL 32819-3310 | 2019-10-07 |
| 1235600354 | Brandon David George | Physical Medicine & Rehabilitation | 5018 Dr Phillips Blvd, Orlando, FL 32819-3310 | 2018-12-16 |
| 1639688781 | Joelle Stutts | Physical Medicine & Rehabilitation | 9975 Tavistock Lakes Blvd Ste 140, Orlando, FL 32827-7665 | 2017-09-20 |
| 1073680286 | Michelle L Michalak | Physical Medicine & Rehabilitation | 5165 Adanson St, Orlando, FL 32804-1331 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372027 | Wholehealth Physical Therapy, LLC | Physical Medicine & Rehabilitation | 21123 Via Ventura, Boca Raton, FL 33433-2230 | 2019-11-27 |
| 1306404843 | Gregory Carvajal | Physical Medicine & Rehabilitation | 3425 Nw 180th St, Miami Gardens, FL 33056-3429 | 2019-05-30 |
| 1871059196 | Michaela Moran | Physical Medicine & Rehabilitation | 2750 John Prom Blvd, Jacksonville, FL 32246-3921 | 2019-02-11 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1003266537 | Christiana Marron | Physical Medicine & Rehabilitation | 800 E Broward Blvd Ste 102, Fort Lauderdale, FL 33301-2020 | 2016-06-15 |
| 1780046177 | Shawn Darmond Homans | Physical Medicine & Rehabilitation | 13539 N Florida Ave, Tampa, FL 33613-3203 | 2016-03-24 |
| 1376933507 | Jessica Benshoshan | Physical Medicine & Rehabilitation | 6251 Palm Trace Landings Dr, Apt # 113, Davie, FL 33314-1841 | 2015-01-26 |
| 1346515020 | Joshua Rothenberg | Physical Medicine & Rehabilitation | 3313 W Hillsboro Blvd Ste 201, Deerfield Beach, FL 33442-9423 | 2012-03-14 |
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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.