| Central Florida Medical Associates, Inc | |
|
2555 S Volusia Ave Orange City FL 32763-9135 | |
| (386) 774-0401 | |
| (386) 774-5783 |
| Full Name | Central Florida Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2555 S Volusia Ave, Orange City, Florida |
| Authorized Official Name and Position | Ilene Ballentine (OFFICE MANAGER) |
| Authorized Official Contact | 3867740401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Medical Associates, Inc 2555 S Volusia Ave Orange City FL 32763-9135 Ph: (386) 774-0401 | Central Florida Medical Associates, Inc 2555 S Volusia Ave Orange City FL 32763-9135 Ph: (386) 774-0401 |
| NPI Number | 1528111085 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 01/12/2015 |
| Medicare PECOS PAC ID | 2567428063 |
|---|---|
| Medicare Enrollment ID | O20041207000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528111085 | NPI | - | NPPES |
| K2371 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME75141 (Florida) | Primary |
| Provider Name | Guylaine Legault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164584140 PECOS PAC ID: 8022017144 Enrollment ID: I20061218000469 |
| Provider Name | Shazia N Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547349 PECOS PAC ID: 9032280532 Enrollment ID: I20090817000241 |
| Provider Name | Syed Bilal Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013969898 PECOS PAC ID: 7618933110 Enrollment ID: I20100202000427 |
| Provider Name | Tazeen T Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386976009 PECOS PAC ID: 1658558218 Enrollment ID: I20130531000251 |
| Provider Name | Joy D Huntley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972947216 PECOS PAC ID: 4385886258 Enrollment ID: I20130806000884 |
| Provider Name | Nancy D Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477650570 PECOS PAC ID: 2062319403 Enrollment ID: I20160223001935 |
| Provider Name | Fernando J Arzola Collazo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225135346 PECOS PAC ID: 1456537166 Enrollment ID: I20180123002378 |
| Provider Name | Anna Lines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114433828 PECOS PAC ID: 7315372653 Enrollment ID: I20200115001305 |
| Provider Name | Tracy Cornelia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346709011 PECOS PAC ID: 1355670753 Enrollment ID: I20200211001451 |
| Provider Name | Radhika Bawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538555115 PECOS PAC ID: 9537454731 Enrollment ID: I20211013003565 |
| Provider Name | Denise M Joseph-exinord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982356853 PECOS PAC ID: 9739562315 Enrollment ID: I20220815000979 |
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