PRATIMA DESHMUKH (NPI# 1932109782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932109782 |
| Entity Type | Individual |
| Full Name | PRATIMA DESHMUKH |
| Credential | M.D. |
| Practice Address |
515 W State Road 434 Longwood FL 32750-4981 |
| Mailing Address |
10051 5th St N Ste 200 St Petersburg FL 33702-2211 |
| Practice Telephone | 4078308600 |
| Practice Fax Number | 4078305110 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 7275686011 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME103241 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 023893100 | 05 | |
| FL | MEDICARE | EN433Y | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2669 Enterprise Rd., Orange City, FL 32763 | 3867740491 | 3867747921 |
| Street Address |
515 W STATE ROAD 434 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734309 | Olen A Giles | Specialist | 515 W State Road 434, Suite 110a, Longwood, FL 32750-4981 | 2005-07-20 |
| 1326452822 | Advanced Analgesia and Anesthesia, Inc | Pain Medicine | 515 W State Road 434, Suite 110, Longwood, FL 32750-4981 | 2014-06-12 |
| 1669812269 | Neel Vipin Patel | Psychiatry & Neurology | 515 W State Road 434, Longwood, FL 32750-4981 | 2013-06-27 |
| 1750729240 | Roshan K Patel | Family Medicine | 515 W State Road 434, Suite 110, Longwood, FL 32750-4981 | 2013-06-06 |
| 1144528522 | Michael Lee Sampson | Physician Assistant | 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 | 2011-03-08 |
| 1639496565 | Ashley R Vrecenak | Physician Assistant | 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 | 2010-05-03 |
| 1457586547 | Kathleen B Zendell | Dermatology | 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 | 2009-05-19 |
| 1275710758 | Kemka S Ogburia Jr. | Specialist | 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 | 2008-01-27 |
| 1609064195 | Urology Consultants | Specialist | 515 W State Road 434, 302, Longwood, FL 32750-4981 | 2007-10-09 |
| 1063608248 | Susan Toth D.o.p.a. | Family Medicine | 515 W State Road 434, Suite 308, Longwood, FL 32750-4981 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232108 | Neighbormd of Longwood LLC | Internal Medicine | 280 Wekiva Springs Rd Ste 1000, Longwood, FL 32779-6098 | 2020-10-13 |
| 1336302421 | Jose Felix Bichara Sudah | Internal Medicine | 2180 W S.r. 434 Suite 2110, Central Florida Inpatient Medicine, Longwood, FL 32779 | 2008-07-08 |
| 1457572547 | Sushma Koneru | Internal Medicine | 521 W State Road 434 Ste 307&308, Longwood, FL 32750-4984 | 2007-05-02 |
| 1730276783 | Samuel Jean | Internal Medicine | 365 Wekiva Springs Rd, Suite 231, Longwood, FL 32779-3684 | 2006-10-09 |
| 1134227028 | Debra A Dube and Associates, Pa | Internal Medicine | 1001 W Warren Ave, Ste 1001, Longwood, FL 32750-4003 | 2006-09-21 |
| 1770697930 | Debra Ann Dube | Internal Medicine | 901 W Warren Ave, Ste 1001, Longwood, FL 32750-4003 | 2006-08-17 |
| 1578579272 | Shahid Sharif | Internal Medicine | 1906 Wingfield Dr, Longwood, FL 32779-7007 | 2006-08-01 |
| 1760498844 | Robert Difronzo | Internal Medicine | 515 W State Road 434 Ste 110, Longwood, FL 32750-5161 | 2006-07-31 |
| 1922028208 | Greater Orlando Hospitalists | Internal Medicine | 740 Florida Central Pkwy, Longwood, FL 32750-7651 | 2006-07-20 |
| 1891738407 | Elizabeth P Heil | Internal Medicine | 521 W State Road 434, Suite 302, Longwood, FL 32750-4984 | 2006-06-13 |
| Find all providers in LONGWOOD | ||||
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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.