BREVARD DERMPATH AND SURGPATH LAB INC (NPI# 1942307178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942307178 |
| Entity Type | Organization |
| Organization Name | BREVARD DERMPATH AND SURGPATH LAB INC |
| Practice Address |
830 Executive Ln Suite #150 Rockledge FL 32955-3595 |
| Mailing Address |
2555 Ponce De Leon Blvd 4th Floor Coral Gables FL 33134-6010 |
| Practice Telephone | 3057025135 |
| Mailing Telephone | 3057025135 |
| Mailing Fax Number | 3054412144 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | DR. SUMANT PANDYA (PRESIDENT) |
| Authorized Official Telephone | 3057025135 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
830 EXECUTIVE LN SUITE #150 |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189743 | Brian Scott Ziegler | Orthopaedic Surgery | 830 Executive Ln, Suite 120, Rockledge, FL 32955-3595 | 2006-01-18 |
| 1134356223 | R & Z Orthopaedic Management | Orthopaedic Surgery | 830 Executive Ln, Suite 120, Rockledge, FL 32955-3595 | 2009-06-16 |
| 1003084351 | Brian S Ziegler M.d., P.a. | Orthopaedic Surgery | 830 Executive Ln, Suite 120, Rockledge, FL 32955-3595 | 2008-02-20 |
| 1376711622 | Lawrence G Robinson Md Pa | Orthopaedic Surgery | 830 Executive Ln, Suite 120, Rockledge, FL 32955-3595 | 2008-02-20 |
| 1942270988 | Cynthia H Halcin | Dermatology | 830 Executive Ln, Suite 110, Rockledge, FL 32955-3595 | 2006-01-24 |
| 1184604480 | Lawrence George Robinson | Orthopaedic Surgery | 830 Executive Ln, Suite 120, Rockledge, FL 32955-3595 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801216908 | Ding Dai | Pathology | Department of Pathology, 110 Longwood Ave., Rockledge, FL 32955 | 2014-04-16 |
| 1417282997 | William Rex Wiseman | Pathology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2009-10-16 |
| 1982826806 | Shondell M Bouie | Pathology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2007-05-02 |
| 1417923095 | Julie D Bell | Pathology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-02-24 |
| 1952377525 | Freda A Nime | Pathology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-02-24 |
| 1932175502 | Pandya & Nime Md Pa | Pathology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-02-24 |
| 1538135116 | Sumant J Pandya | Pathology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
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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.