Premise Health of Florida Medical, P.a. is a Multi-Specialty Clinic/Center (organization) practicing in Mount Dora, Florida. The National Provider Identifier (NPI) is #1386318434, which was assigned on August 3, 2021, and the registration record was last updated on August 9, 2022. The practitioner's main practice location is at 2110 N Donnelly St Ste 200, Mount Dora, FL 32757-6967; the contact telephone number is 3527358231, and the fax number is 9039573195. The primary taxonomy of Premise Health of Florida Medical, P.a. is Multi-Specialty Clinic/Center (261QM1300X), with specialization in Multi-Specialty. The authorized official for Premise Health of Florida Medical, P.a. is Jonathan Leizman (President).
| NPI | 1386318434 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF FLORIDA MEDICAL, P.A. |
| Provider Name | PREMISE HEALTH OF FLORIDA MEDICAL, P.A. |
| Other Organization Name |
CITY OF MOUNT DORA (Doing Business As Name) |
| Other Name | CITY OF MOUNT DORA |
| Practice Address |
2110 N Donnelly St Ste 200 Mount Dora FL 32757-6967 |
| Practice Telephone | 3527358231 |
| Practice Fax Number | 9039573195 |
| Mailing Address |
5500 Maryland Way Brentwood TN 37027-7048 |
| Certification Date | 2022-08-09 |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-08-09 |
| Is Organization Subpart | N |
| Official Name | JONATHAN LEIZMAN |
| Official Title | PRESIDENT |
| Credential | MD |
| Telephone | 2164799063 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QM1300X | Clinic/Center | Multi-Specialty |
| Other Organization Name | Type |
|---|---|
| City of Mount Dora | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Premise Health of Florida Medical, P.a. · Lake Co Schools - Clermont | 20265 Us Highway 27, Clermont, FL 34715-8798 | Multi-Specialty Clinic/Center | 2021-08-03 |
| Premise Health of Florida Medical, P.a. · Mccoy Federal Credit Union - Orlando | 1111 Lucerne Ter, Orlando, FL 32806-1016 | Multi-Specialty Clinic/Center | 2021-08-03 |
| Premise Health of Florida Medical, P.a. · St. Lucie Medical Clinic | 6501 S Ocean Dr, Jensen Beach, FL 34957-2041 | Primary Care Clinic/Center | 2020-05-06 |
| Premise Health of Florida Medical, P.a. · Lake Co Schools - Hr | 1910 Titcomb St, Eustis, FL 32726-6113 | Multi-Specialty Clinic/Center | 2021-08-03 |
| Premise Health of Florida Medical, P.a. · City of Ocala | 2100 Ne 30th Ave Ste 102, Ocala, FL 34470-4800 | Multi-Specialty Clinic/Center | 2021-08-03 |
| Premise Health of Florida Medical, P.a. · Navy Federal Wellness Center | 3101 Navy Federal Way, Pensacola, FL 32526-7878 | Health Service Clinic/Center | 2019-05-24 |
| Premise Health of Florida Medical, P.a. · St Lucie - Port St Lucie | 1680 Se Lyngate Dr Ste 101, Port St Lucie, FL 34952-4300 | Multi-Specialty Clinic/Center | 2021-08-03 |
| Premise Health of Florida Medical, P.a. | 9300 28th St N, Pinellas Park, FL 33782-6122 | Multi-Specialty Clinic/Center | 2022-08-05 |
| Premise Health of Florida Medical, P.a. · Capital One Be Well Health Center At Tampa | 8705 Henderson Rd, Tampa, FL 33634-1143 | Primary Care Clinic/Center | 2020-03-10 |
| Premise Health of Florida Medical, P.a. · City of St Cloud | 2950 Lakeshore Blvd, Saint Cloud, FL 34769-1946 | Multi-Specialty Clinic/Center | 2021-08-03 |
| Find all providers with the same name | |||
| Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Grouping | Ambulatory Health Care Facilities |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Liliha Kupuna Snf, LLC. | 2230 Liliha St Ste 500, Honolulu, HI 96817-1697 | Multi-Specialty Clinic/Center | 2024-04-05 |
| Ann Pearl Care Home, Inc | 45-181 Waikalua Rd, Kaneohe, HI 96744-2765 | Multi-Specialty Clinic/Center | 2024-04-05 |
| Sienna Optimal Fitness LLC | 12239 Brisbane Ave, Farmers Branch, TX 75234-6527 | Multi-Specialty Clinic/Center | 2024-03-21 |
| Premise Health of North Carolina Medical, P.c | 5938 Julian Airport Rd Bldg 801, Liberty, NC 27298-8038 | Multi-Specialty Clinic/Center | 2024-03-25 |
| Chi-Town Spine and Sport PLLC | 4610 N Western Ave, Chicago, IL 60625-2184 | Multi-Specialty Clinic/Center | 2024-03-26 |
| Thriving Therapies, LLC | 725 W Estrella Dr, Gilbert, AZ 85233-7627 | Multi-Specialty Clinic/Center | 2024-03-28 |
| Wilshire Institute for Interventional Psychiatry Inc | 9350 Wilshire Blvd Ste 203-I34, Beverly Hills, CA 90212-3214 | Multi-Specialty Clinic/Center | 2024-04-01 |
| Medm LLC | 1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777 | Multi-Specialty Clinic/Center | 2024-04-04 |
| Oasis Center for Interventional Psychiatry Inc | 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765-3921 | Multi-Specialty Clinic/Center | 2024-04-01 |
| Stellar Health & Wellness Clinic LLC | 5237 Renwyck Dr, Toledo, OH 43615-5996 | Multi-Specialty Clinic/Center | 2024-03-25 |
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| Street Address |
2110 N DONNELLY ST STE 200 |
| City | MOUNT DORA |
| State | FL |
| Zip Code | 32757-6967 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sandra Barnes Scott | 6578 Willow St, Mount Dora, FL 32757 | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2022-02-08 |
| Catherine Lim Panlilio | 300 Brookfield Avenue, Mount Dora, FL 32757 | Physical Therapist | 2016-12-22 |
| Sonya Quiroz | 21038 Niles Ave, Mount Dora, FL 32757 | Behavior Technician | 2017-12-04 |
| Mount Dora Modern Dentistry, Pa | 17365 Us Hwy 441, Eustis, FL 32757 | General Practice Dentistry | 2016-12-15 |
| Gateway Health Services LLC | 2250 W Old Highway 441, Mount Dora, FL 32757 | Home Health Agency | 2021-08-03 |
| Erin N Booth | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | Behavioral Analyst | 2017-08-24 |
| Truear Hearing Inc | 18997 Us 441, Mount Dora, FL 32757 | Hearing Instrument Specialist | 2017-06-08 |
| Voneesha L Givens | 6551 N Orange Blm Trl, Suite 209 #1005, Mount Dora, FL 32757 | Adult Companion | 2021-03-10 |
| Cypress Grove Counseling Center LLC | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | Mental Health Counselor | 2020-07-28 |
| Springwater At Waterman Village | 2858 Lighthouse Shore Way, Mount Dora, FL 32757 | Assisted Living Facility | 2022-03-10 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mount Dora Ophthalmology Asc LLC · Mid Florida Surgery Center | 17564 Us Highway 441, Mount Dora, FL 32757-6711 | Ambulatory Surgical Clinic/Center | 2006-02-07 |
| Premise Health of Illinois Medical, PC · Mount Vernon Healthy Living Center | 5100 Lake Terrance Ne, Mount Vernon, IL 62864-9665 | Primary Care Clinic/Center | 2010-09-17 |
| Premise Health of Tennessee Medical, P.c · City of Kingsport | 415 Broad St Ste 644, Kingsport, TN 37660-4207 | Multi-Specialty Clinic/Center | 2021-07-23 |
| Premise Health of Missouri Medical, P.C. · Caesars Health Center No Kansas City | 1 Riverboat Dr, Kansas City, MO 64116-3267 | Multi-Specialty Clinic/Center | 2021-08-30 |
| Premise Health of West Virginia Medical, Medical Corporation | 108 Osbourne Way Ste 7, Georgetown, KY 40324-9693 | Multi-Specialty Clinic/Center | 2021-08-17 |
| Premise Health of Texas Medical, P.a · City of Austin Health & Wellness Clinic | 5202 E Ben White Blvd Ste 500, Austin, TX 78741-7316 | Multi-Specialty Clinic/Center | 2021-08-02 |
| Premise Health of West Virginia Medical, Medical Corporation | 18 River Walk Mall, South Charleston, WV 25303-1026 | Multi-Specialty Clinic/Center | 2021-08-03 |
| Premise Health of Georgia Medical, P.C. · City of Cordele Health and Wellness Center | 809 E 11th Ave, Cordele, GA 31015-3422 | Primary Care Clinic/Center | 2018-08-10 |
| Premise Health of Florida Medical, P.a. | 5323 Millenia Lk Blvd, Orlando, FL 32839-3392 | Multi-Specialty Clinic/Center | 2024-03-11 |
| Premise Health of West Virginia Medical, Medical Corporation | 601 Morris St Ste 203, Charleston, WV 25301-1416 | Primary Care Clinic/Center | 2021-03-09 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |