Organization Active NPI

DSS Capital LLC

  • Internal Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1194038307
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DSS CAPITAL LLC
Practice address
1450 6TH St SE
Winter Haven, FL 33880-4505
Phone
(863) 299-1485
Fax
(863) 291-3572
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Mr. Davian S Santana
Title
President
Phone
(352) 516-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1450 6TH St SE
Winter Haven, FL 33880-4505

Mailing address

4290 S Hwy 27
Suite 201
Clermont, FL 34711-8066
Phone (352) 536-9270

Other names 1

  • WINTER HAVEN MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1194038307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 S HWY 27",
            "address_2": "SUITE 201",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118066",
            "telephone_number": "352-536-9270",
            "fax_number": "352-536-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804505",
            "telephone_number": "863-299-1485",
            "fax_number": "863-291-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSS CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "DAVIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-516-1699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINTER HAVEN MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.