MID-FLORIDA UROLOGY PHYSICIAN SERVICES LLC (NPI# 1942476791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942476791 |
| Entity Type | Organization |
| Organization Name | MID-FLORIDA UROLOGY PHYSICIAN SERVICES LLC |
| Practice Address |
200 Avenue F Ne Winter Haven FL 33881-4131 |
| Practice Telephone | 8632971899 |
| Practice Fax Number | 8632971867 |
| Mailing Telephone | 8632971899 |
| Mailing Fax Number | 8632971867 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | DAVE MACDOUGALL (CFO) |
| Authorized Official Telephone | 8632971899 |
| Is Organization Subpart | Y |
| Parent Organization Name | MID FLORIDA PHYSICIAN SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
200 AVENUE F NE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353993 | Phillip C. Gordon | Pathology | 200 Avenue F Ne, Dept. of Pathology, Winter Haven, FL 33881-4131 | 2005-11-14 |
| 1679193726 | Maria Ann Cressman | Registered Nurse | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2020-04-19 |
| 1194386144 | James Ray Fuentes | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4193 | 2019-06-20 |
| 1023573961 | Candy Bridges | Registered Nurse | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2019-02-05 |
| 1093299380 | Amy Arlene Davis | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-09-21 |
| 1639656614 | Felix E Sanchez | Pharmacist | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-07-23 |
| 1801384243 | Tarsha Foreman | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2018-05-01 |
| 1265953178 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 200 Avenue F Ne, Winter Haven, FL 33881 | 2017-06-30 |
| 1518497601 | Hui Yang | Occupational Therapist | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2017-06-12 |
| 1093243552 | Chelsea Elizabeth Lenz | Emergency Medicine | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842240 | Reginald A Allen | Urology | 201 Magnolia Ave Sw, Winter Haven, FL 33880 | 2005-06-24 |
| 1073519310 | Kenneth A Essig | Urology | 7599 Cypress Gardens Blvd, Winter Haven, FL 33884-3263 | 2005-06-22 |
| 1033474838 | Claudio Romero | Urology | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2012-07-08 |
| 1851433759 | Urology Associates of Central Florida | Urology | 427 E Central Ave, Winter Haven, FL 33880-3051 | 2007-02-14 |
| 1093829772 | John Donald Shelgren Jr. | Urology | 427 E Central Ave, Winter Haven, FL 33880-3051 | 2006-08-18 |
| 1831202167 | Bade Akintan | Urology | 201 Magnolia Ave Sw, Winter Haven, FL 33880 | 2006-08-17 |
| 1649213208 | Kevin K Lee | Urology | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2006-06-13 |
| 1639147291 | George R Warner | Urology | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
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| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.