Nona Minimally Invasive Surgery, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME133810 Issued in FL

Legal business name

NONA MINIMALLY INVASIVE SURGERY, PLLC

Practice address

12601 Narcoossee Rd Ste 209
Orlando, FL 32832

Phone

(407) 605-3777

Fax

(321) 473-4839

NPI assigned

Apr 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chetan Jitendra Patel, MD

Title

Owner

Phone

(352) 408-3186

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Joseph Dessify, D.O

  • Surgery Physician
  • Orlando, FL
  • NPI 1780063974
  NPD (past)
• Sydney Sally Ann Khreis

  • Physician Assistant
  • Orlando, FL
  • NPI 1023843851
  NPD (past)
• Christopher Ba Le

  • Surgery Physician
  • Saint Cloud, FL
  • NPI 1124553185
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1154819001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 NARCOOSSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326923",
            "telephone_number": "407-605-3777",
            "fax_number": "321-473-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 NARCOOSSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-605-3777",
            "fax_number": "321-473-4839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9685 Lake Nona Village Pl Ste 204",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32827",
            "country_code": "US",
            "telephone_number": "407-857-3937",
            "fax_number": "407-392-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NONA MINIMALLY INVASIVE SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_middle_name": "JITENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-408-3186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME133810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.