| Center For Digestive Health | |
|
1817 N Mills Ave Orlando FL 32803 | |
| (407) 896-1726 | |
| (407) 896-9716 |
| Full Name | Center For Digestive Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 1817 N Mills Ave, Orlando, Florida |
| Authorized Official Name and Position | Henry Levine (PRESIDENT) |
| Authorized Official Contact | 4078961726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Digestive Health 1817 N Mills Ave Orlando FL 32803 Ph: (407) 896-1726 | Center For Digestive Health 1817 N Mills Ave Orlando FL 32803 Ph: (407) 896-1726 |
| NPI Number | 1750320099 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456331545 |
|---|---|
| Medicare Enrollment ID | O20040720001648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750320099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kathleen D Lauderback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871779652 PECOS PAC ID: 7214906148 Enrollment ID: I20040928000792 |
| Provider Name | Ivelisse Lopez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316913171 PECOS PAC ID: 6800830050 Enrollment ID: I20050617000587 |
| Provider Name | Marlon B Ilagan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588716492 PECOS PAC ID: 9931207263 Enrollment ID: I20070608000568 |
| Provider Name | Rose M Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699958884 PECOS PAC ID: 2860575024 Enrollment ID: I20080211000595 |
| Provider Name | Cecilia V Oliveri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255561247 PECOS PAC ID: 0143361220 Enrollment ID: I20100112000301 |
| Provider Name | Henry Md Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932148285 PECOS PAC ID: 8628058716 Enrollment ID: I20100201000051 |
| Provider Name | William Mayoral |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154360493 PECOS PAC ID: 1658442223 Enrollment ID: I20100308000340 |
| Provider Name | William B Ruderman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598704843 PECOS PAC ID: 2163490137 Enrollment ID: I20100419000460 |
| Provider Name | Samuel A Giday |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598716110 PECOS PAC ID: 2961415732 Enrollment ID: I20101027001302 |
| Provider Name | Carla D Fuentes Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972816056 PECOS PAC ID: 0446414312 Enrollment ID: I20120606000420 |
| Provider Name | Rhonda Darlene Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306179379 PECOS PAC ID: 0941337943 Enrollment ID: I20121031000579 |
| Provider Name | Jason Alan Korenblit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467641423 PECOS PAC ID: 3375706328 Enrollment ID: I20150616002753 |
| Provider Name | Jacqueline B Larrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083009328 PECOS PAC ID: 8426362740 Enrollment ID: I20150730013557 |
| Provider Name | Ehsan Rafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801029608 PECOS PAC ID: 1456515873 Enrollment ID: I20181004001096 |
| Provider Name | Xinjun Zhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457531410 PECOS PAC ID: 7416143730 Enrollment ID: I20190819002134 |
| Provider Name | Suhail V Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154952810 PECOS PAC ID: 8426488040 Enrollment ID: I20200423000085 |
| Provider Name | Tiffany Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598377525 PECOS PAC ID: 5597179457 Enrollment ID: I20210204001362 |
| Provider Name | Elizabeth Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730763012 PECOS PAC ID: 0446650832 Enrollment ID: I20210805002049 |
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The Medical Concierge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Turkey Lake Rd Ste 208, Orlando, FL 32819 Phone: 407-648-5252 Fax: 407-370-4126 | |
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