| Physicians Of Central Florida, Pa | |
|
18550 Us Highway 441 Suite A Mount Dora FL 32757-6725 | |
| (352) 735-3755 | |
| (352) 735-3151 |
| Full Name | Physicians Of Central Florida, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 18550 Us Highway 441, Mount Dora, Florida |
| Authorized Official Name and Position | Khai Sheng Chang (PRESIDENT) |
| Authorized Official Contact | 3527353755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Of Central Florida, Pa 18550 Us Highway 441 Mount Dora FL 32757-6725 Ph: (352) 735-3755 | Physicians Of Central Florida, Pa 18550 Us Highway 441 Suite A Mount Dora FL 32757-6725 Ph: (352) 735-3755 |
| NPI Number | 1861421018 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 08/01/2017 |
| Medicare PECOS PAC ID | 5395712764 |
|---|---|
| Medicare Enrollment ID | O20040914001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861421018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shaik Ejazuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073501185 PECOS PAC ID: 0749243426 Enrollment ID: I20041104000827 |
| Provider Name | Waheeduz Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780638346 PECOS PAC ID: 4183627151 Enrollment ID: I20060811000038 |
| Provider Name | Birendra Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851592802 PECOS PAC ID: 9931295698 Enrollment ID: I20071011000403 |
| Provider Name | Ajay H Bisht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629279344 PECOS PAC ID: 7618063371 Enrollment ID: I20071011000442 |
| Provider Name | Tasneem Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740489707 PECOS PAC ID: 9830249853 Enrollment ID: I20090615000117 |
| Provider Name | Francisco J Gomez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255397089 PECOS PAC ID: 3779502984 Enrollment ID: I20100206000009 |
| Provider Name | Haseeb Kazim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346273786 PECOS PAC ID: 5092841049 Enrollment ID: I20100329000830 |
| Provider Name | Deepali Khadka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386707735 PECOS PAC ID: 3072577998 Enrollment ID: I20100614000382 |
| Provider Name | Khai Sheng Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881665222 PECOS PAC ID: 7911973722 Enrollment ID: I20100713000158 |
| Provider Name | Margaret R Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588891618 PECOS PAC ID: 2163605437 Enrollment ID: I20110323000826 |
| Provider Name | Ghulam M Anwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326343534 PECOS PAC ID: 7719162023 Enrollment ID: I20110502000722 |
| Provider Name | Nisha A Shenai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720262959 PECOS PAC ID: 4082887559 Enrollment ID: I20111027000716 |
| Provider Name | Syed Salman Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285894238 PECOS PAC ID: 1052586351 Enrollment ID: I20111215000322 |
| Provider Name | Lizeth Diaz Ledesma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700085784 PECOS PAC ID: 0042385684 Enrollment ID: I20120206000641 |
| Provider Name | Ellias N Maroun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164677373 PECOS PAC ID: 1153572912 Enrollment ID: I20121105000291 |
| Provider Name | Mohammad Fahad Bin Asad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982910527 PECOS PAC ID: 6204078488 Enrollment ID: I20130819000334 |
| Provider Name | Ayham Mouawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417261611 PECOS PAC ID: 6103069166 Enrollment ID: I20130823000912 |
| Provider Name | Rebecca Lynn Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336560184 PECOS PAC ID: 5294966834 Enrollment ID: I20140325001888 |
| Provider Name | Mirza Hamza Parvez Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811254410 PECOS PAC ID: 2163640723 Enrollment ID: I20140825000721 |
| Provider Name | Pablo D Cardona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447523493 PECOS PAC ID: 9133348147 Enrollment ID: I20140923002158 |
| Provider Name | Ramona Kyrillos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154579951 PECOS PAC ID: 4981922523 Enrollment ID: I20150413000424 |
| Provider Name | Shannon Rose Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659766244 PECOS PAC ID: 3779802160 Enrollment ID: I20150506002273 |
| Provider Name | Sannia Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609124817 PECOS PAC ID: 3779714241 Enrollment ID: I20150610002536 |
| Provider Name | Steven Earl Sywenki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336532381 PECOS PAC ID: 4880913425 Enrollment ID: I20150916000256 |
| Provider Name | Gregory Matthew Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235512401 PECOS PAC ID: 4385945765 Enrollment ID: I20151209002627 |
| Provider Name | Chelah Marcellus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609243849 PECOS PAC ID: 2567768674 Enrollment ID: I20160315001973 |
| Provider Name | Onameyore Utuama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184068660 PECOS PAC ID: 8022302199 Enrollment ID: I20160811002616 |
| Provider Name | Madiha Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437413648 PECOS PAC ID: 5597059600 Enrollment ID: I20160812001026 |
| Provider Name | Vashti Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295030898 PECOS PAC ID: 8527209956 Enrollment ID: I20160929002836 |
| Provider Name | Shannon Corrigan Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558805838 PECOS PAC ID: 2567743578 Enrollment ID: I20170106000507 |
| Provider Name | Beverley Y Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497175921 PECOS PAC ID: 4284917782 Enrollment ID: I20170207002997 |
| Provider Name | Tony Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861854671 PECOS PAC ID: 7618242397 Enrollment ID: I20171005001419 |
| Provider Name | Martino Rosalva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689924425 PECOS PAC ID: 8426323155 Enrollment ID: I20171005003480 |
| Provider Name | Sarah Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669981015 PECOS PAC ID: 3870859606 Enrollment ID: I20171113000391 |
| Provider Name | Stacey Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285144089 PECOS PAC ID: 2163781675 Enrollment ID: I20180108003195 |
| Provider Name | Luisangel A Rondon Verenzuela |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457652836 PECOS PAC ID: 8123298304 Enrollment ID: I20180129000287 |
| Provider Name | Matthew Dedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801304530 PECOS PAC ID: 0345501995 Enrollment ID: I20180223000671 |
| Provider Name | Bassem B Ibrahim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346683505 PECOS PAC ID: 1759659451 Enrollment ID: I20180730000769 |
| Provider Name | Sameer Shaharyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497149629 PECOS PAC ID: 0547518755 Enrollment ID: I20180803002599 |
| Provider Name | Haroon Rashid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629006499 PECOS PAC ID: 1153384938 Enrollment ID: I20190104002290 |
| Provider Name | Uzma Kewan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114280260 PECOS PAC ID: 2264760420 Enrollment ID: I20190826002555 |
| Provider Name | Carl Thomas Rountree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699318865 PECOS PAC ID: 7113351875 Enrollment ID: I20200106001055 |
| Provider Name | Sharon Eileen Molok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073148672 PECOS PAC ID: 0143659425 Enrollment ID: I20200408000892 |
| Provider Name | Adrienne Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215560255 PECOS PAC ID: 4789005570 Enrollment ID: I20200603001466 |
| Provider Name | Jason B Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336771823 PECOS PAC ID: 2062838592 Enrollment ID: I20200814001333 |
| Provider Name | Stacy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033710371 PECOS PAC ID: 8224440425 Enrollment ID: I20201211001909 |
| Provider Name | Christine Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417606815 PECOS PAC ID: 4981086881 Enrollment ID: I20220808003453 |
| Provider Name | Angela Milton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045193 PECOS PAC ID: 0749658672 Enrollment ID: I20221123002422 |
| Provider Name | Caryn Aleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376946103 PECOS PAC ID: 1153228424 Enrollment ID: I20230804002481 |
Adventhealth Centra Care - Mount Dora Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19015 U.s. Highway 441, Mount Dora, FL 32757 Phone: 352-383-3484 Fax: 352-735-0517 | |
Jerry M Alstott Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8030 Saint James Way, Mount Dora, FL 32757 Phone: 407-908-0064 Fax: 352-383-9319 | |
Mount Dora Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18540 Us Highway 441, Mount Dora, FL 32757 Phone: 352-383-7743 Fax: 352-383-9226 | |
Breakthrough Transitions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 N Donnelly St Ste 500, Mount Dora, FL 32757 Phone: 321-362-4176 Fax: 321-256-5176 | |
Kathryn Johnson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 N Highway 19a, Suite 4, Mount Dora, FL 32757 Phone: 352-988-4181 | |
Daybreak Pediatric Housecalls, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Northside Dr, Mount Dora, FL 32757 Phone: 352-359-2757 Fax: 866-215-0354 | |
Chinyere Center For Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 E 19th Ave, Mount Dora, FL 32757 Phone: 352-735-3396 |