Medhealth Clinical Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDHEALTH CLINICAL INC.

Practice address

1327 Winter Garden Vineland Rd Ste 130
Winter Garden, FL 34787-4363

Phone

(321) 422-2303

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Derrick Taveras

Title

Ceo

Phone

(407) 947-6498

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEGCCD

Practitioners 9

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

• Vera O Anderson, ARNP

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1134143860
  Medicare reassignment NPD
• Pedro Fabian Garcia, M.D.

  • Internal Medicine Physician
  • Winter Garden, FL
  • NPI 1255725628
  Medicare reassignment NPD
• Joel J. Santora, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Ocoee, FL
  • NPI 1730475476
  Medicare reassignment NPD
• Martin Giovanni Vazquez Miranda, MD

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1609618743

  Single Specialty

  Medicare reassignment NPD
• William Joel Rivera Carrero, MD

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1104669506

  Single Specialty

  Medicare reassignment NPD (past)
• Karla Francheska Miranda Medina, M.D.

  • General Practice Physician
  • Zephyrhills, FL
  • NPI 1093073454
  Medicare reassignment
• Darelys Sierra

  • Family Nurse Practitioner
  • Apopka, FL
  • NPI 1225843618
  Medicare reassignment
• Modesta Guillermina Liriano Caba

  • Family Nurse Practitioner
  • Kissimmee, FL
  • NPI 1407632656
  NPD
• Adriana Mercedes Bueno, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Kissimmee, FL
  • NPI 1821675976
  NPD (past)

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1164045753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 WINTER GARDEN VINELAND RD STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874363",
            "telephone_number": "321-422-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 WINTER GARDEN VINELAND RD STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874363",
            "telephone_number": "321-422-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 6th St",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335425736",
            "country_code": "US",
            "telephone_number": "321-422-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 Galileo Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551794",
            "country_code": "US",
            "telephone_number": "321-422-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDHEALTH CLINICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "TAVERAS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-947-6498"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna McGurer-Bryant, LCSW
• Ta'Shae McKinnon, PHARMD
• Gemma McNeil
• Sara Michelle Meadows, APRN
• Erika Barbara Mederos Betancourt
• Medical Home Alliance LLC
• Tailyn Medina Suarez, DMD
• Moraima Medina, MS
• Medlife Pharmacy LLC
• Medlife Pharmacy LLC

• Internal Medicine Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.