Jordan Scott Vallieres (NPI# 1144708058, PAC ID# 3577807049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144708058 |
| PAC ID by PECOS | 3577807049 |
| Professional Enrollment ID | I20181211000306 |
| Full Name | Jordan Scott Vallieres |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Address |
755 Rinehart Rd Suite 100 Lake Mary FL 32746-4885 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749186153 |
| Number of Group Practice Members | 823 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 | FLORIDA HOSPITAL MEDICAL GROUP INC | |
| 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 | 4072002700 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Physicians | 1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Kay Kaufmann | Certified Nurse Midwife (cnm) | Florida Hospital Medical Group Inc | 235 E Princeton St, Suite 200, Orlando, FL 32804-5555 |
| Jonathan Lucking | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Amanda Nadeau | Family Medicine | Florida Hospital Medical Group Inc | 2000 Fowler Grove Blvd, Fl 3, Winter Garden, FL 34787-5050 |
| Amber Shepard | Family Medicine | Florida Hospital Medical Group Inc | 1255 State Rd 60, Suite 500, Lake Wales, FL 33853-4302 |
| Jason Smith | General Surgery | Florida Hospital Medical Group Inc | 1290 Waterman Way, Tavares, FL 32778-5229 |
| Buck Andreu Scott | General Surgery | Florida Hospital Medical Group Inc | 407 S 11th St, Lake Wales, FL 33853-4243 |
| Mitchell Machado | Medical Oncology | Florida Hospital Medical Group Inc | 7975 Lake Underhill Rd, Suite 220b, Orlando, FL 32822-8202 |
| Lennie Calderon | Nurse Practitioner | Florida Hospital Medical Group Inc | 1300 W Oak St, Kissimmee, FL 34741-4024 |
| Devlin H O'connor | Family Medicine | Florida Hospital Medical Group Inc | 3330 Waterman Way, Tavares, FL 32778-5250 |
| Tutu Cheng | Plastic and Reconstructive Surgery | Florida Hospital Medical Group Inc | 410 Lionel Way, Suite 204, Davenport, FL 33837-7809 |
| Street Address |
755 RINEHART RD SUITE 100 |
| City | LAKE MARY |
| State | FL |
| Zip | 32746-4885 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina H Berger | Family Medicine | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| Patty J Lodge | Physician Assistant | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| David L Nerness | Family Medicine | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| Desirae N Friend | Family Medicine | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| Inoel Rivera-ramirez | Urology | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| Parkash A Bakhtiani | Endocrinology | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| Jin Y Soh Urbano | Family Medicine | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| Robert M Rodgers | Family Medicine | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| Nikki T Witt | Certified Nurse Midwife | Florida Hospital Medical Group Inc | 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746-4885 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilberto L Lopez | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Carlos P Grullon | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Lawrence E Vallario | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Mulugeta Fissha | Interventional Cardiology | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| William J David | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Stephen M Reed | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
| Benjamin Golden Thomasson | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
| Robert Frances Love | Optometry | 1331 S International Pkwy, Suite 1271, Lake Mary, FL 32746-1405 | |
| Jorge O Diaz | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
| Rafael E Pena | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
| Find all physicians in zip 32746 | |||
| City | LAKE MARY |
| Zip Code | 32746 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE MARY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jordan Scott Vallieres.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.