Kenneth C Obiaja (NPI# 1639342363, PAC ID# 4082883335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639342363 |
| PAC ID by PECOS | 4082883335 |
| Professional Enrollment ID | I20110803000461 |
| Full Name | Kenneth C Obiaja |
| Organization Legal Name | FLORIDA HEART AND VASCULAR MULTI SPECIALTY GROUP PA |
| Address |
201 Lagrande Blvd Lady Lake FL 32159-1303 |
| Phone Number | 3527530606 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6507839735 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 Lagrande Blvd, Lady Lake, FL 32159-1303 | 3527530606 | FLORIDA HEART AND VASCULAR MULTI SPECIALTY GROUP PA |
| 802 E Dixie Ave, Leesburg, FL 34748-6014 | 3527871324 | FLORIDA HEART AND VASCULAR MULTI SPECIALTY GROUP PA |
| Organization Legal Name | FLORIDA HEART AND VASCULAR MULTI SPECIALTY GROUP PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Hayes | Nephrology | Florida Heart and Vascular Multi Specialty Group Pa | 8485 Se165th Mulberry Ln, The Villages, FL 32162-5847 |
| Michael A Glick | Internal Medicine | Florida Heart and Vascular Multi Specialty Group Pa | 1501 N Us Hwy 441, Suite 1102, The Villages, FL 32159-6800 |
| Tara L Brannen | Nurse Practitioner | Florida Heart and Vascular Multi Specialty Group Pa | 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7328 |
| John Richard Hurt | Cardiovascular Disease (cardiology) | Florida Heart and Vascular Multi Specialty Group Pa | 1560 Santa Barbara Blvd, The Villages, FL 32159-6819 |
| Larry D Foster | Family Medicine | Florida Heart and Vascular Multi Specialty Group Pa | 201 Lagrande Blvd, Lady Lake, FL 32159-1303 |
| David Sustarsic | General Surgery | Florida Heart and Vascular Multi Specialty Group Pa | 1560 Santa Barbara Blvd, The Villages, FL 32159-6819 |
| Florian Gegaj | Internal Medicine | Florida Heart and Vascular Multi Specialty Group Pa | 1560 Santa Barbara Blvd, The Villages, FL 32159-6819 |
| Prakrut H Patel | Cardiovascular Disease (cardiology) | Florida Heart and Vascular Multi Specialty Group Pa | 1560 Santa Barbara Blvd, The Villages, FL 32159-6819 |
| Joseph Sahab | Cardiovascular Disease (cardiology) | Florida Heart and Vascular Multi Specialty Group Pa | 1560 Santa Barbara Blvd, The Villages, FL 32159-6819 |
| Patrick K Williams | Cardiovascular Disease (cardiology) | Florida Heart and Vascular Multi Specialty Group Pa | 1560 Santa Barbara Blvd, The Villages, FL 32159-6819 |
| Street Address |
201 LAGRANDE BLVD |
| City | LADY LAKE |
| State | FL |
| Zip | 32159-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry D Foster | Family Medicine | Florida Heart and Vascular Multi Specialty Group Pa | 201 Lagrande Blvd, Lady Lake, FL 32159-1303 |
| Robert Aisenstat | Family Medicine | Florida Heart and Vascular Multi Specialty Group Pa | 201 Lagrande Blvd, Lady Lake, FL 32159-1303 |
| Jeffrey Robinson | Family Medicine | Florida Heart and Vascular Multi Specialty Group Pa | 201 Lagrande Blvd, Lady Lake, FL 32159-1303 |
| Maria B Bello | Family Medicine | Florida Heart and Vascular Multi Specialty Group Pa | 201 Lagrande Blvd, Lady Lake, FL 32159-1303 |
| Michael F Mcginnity | Physician Assistant | Florida Heart and Vascular Multi Specialty Group Pa | 201 Lagrande Blvd, Lady Lake, FL 32159-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirmanj Faraj | Cardiovascular Disease (cardiology) | Cardiac Specialty Institute, LLC | 510 W Cr, Suite 466, Lady Lake, FL 32159 |
| Danny J Soares | Otolaryngology | Mesos LLC | 757 County Rd, Suite 466, Lady Lake, FL 32159 |
| Vinay Gutti | Ophthalmology | Central Florida Premier Eye Associates | 801 County Rd 466 Unit, Suite 102, Lady Lake, FL 32159 |
| Natalia Alejandro | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Maria Theresa S De Jesus | Nephrology | Quintina B. Corteza Md Pa | 777 County Rd, Suite 466, Lady Lake, FL 32159 |
| Judith C Milstead | Otolaryngology | Milstead Vaught Madonna and Freedman Pa | 1501 Us Hwy 441 N, Suite 1402, The Villages, FL 32159 |
| Alexander Smirnoff | Neurology | 729 County Rd, Suite 1100, Lady Lake, FL 32159 | |
| Norman S Novis | Internal Medicine | Norman S Novis Md Pa | 801 Hwy 466 B101, Lady Lake, FL 32159 |
| Nelly Rivera Ortiz | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Skivakumar S Hanubal | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Find all physicians in zip 32159 | |||
| City | LADY LAKE |
| Zip Code | 32159 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LADY LAKE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth C Obiaja.
| 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.