Ameripath Hospital Services-Florida LLC
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Clermont, FL
NPI 1124091509 · NPPES record last updated May 31, 2025
Key facts
- NPI
- 1124091509
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 10D0883936 (FL)
- Legal business name
- AMERIPATH HOSPITAL SERVICES-FLORIDA LLC
- Practice address
- 1900 Don Wickham Dr
Clermont, FL 34711-1979 - Phone
- (239) 275-1164
- Fax
- (239) 939-0947
- NPI assigned
- Feb 8, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC.
Authorized official
- Name
- Darren Thomas Wheeler, MD
- Title
- Vice President
- Phone
- (973) 520-2700
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 4
Practitioners 46
-
Noemi Amitina, M.D., PHD
-
Orestes Borrego, MD
-
Ding Dai, M.D.
-
Osama Elfituri, M.D
-
Amin Hayee, M.D.
-
Bing Hu, MD
-
Sean M. Kaufman, M. D.
-
Noris M Keating, MD
-
Alan Levin, MD
-
Zhiping Liu, MD
-
Richard C Morris, MD
-
Quratulain Obaid, MD
-
Tejal Patel, MD
-
Mary Frances Varsegi, M.D.
-
Steven D Weiss, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060412000199 | FL | Part B Supplier - Clinic/Group Practice | 8022027572 |
Receives reassigned benefits from 29 practitioners 5 other NPIs on this enrollment Practice locations: Port St Lucie, FL; Naples, FL; Ft Myers, FL; Fort Myers, FL; Clermont, FL; Cape Coral, FL |
National Provider Directory
- Tax ID family
- Ameripath Hospital Services-Florida LLC
Locations
895 SW 30th Ave
Ste 101
Pompano Beach, FL 33069
Phone (800) 330-6770
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | 10D0883936 | FL | Yes |
Addresses
Primary practice location
1900 Don Wickham Dr
Clermont, FL 34711-1979
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10D1041408 | Other | CLIA |
Other providers in Clermont, FL
- Amani Path ABA LLC
- Isabella Alexa Amaro
- Sohaila Kamal Abdelmajed Amer
- America Choice Family Clinic and Behavior Health
- Ameripath Florida LLC
- Jinal Amin
- Syed Morteza Amouzegar
- Anant LLC
- Anchor Behavioral Solutions LLC
- Dana Lyn Anctil
All providers in Clermont, FL · Anatomic Pathology & Clinical Pathology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.