Active NPI
DSS Capital LLC
- Internal Medicine Physician
- Winter Haven, FL
National Provider Identifier
1194038307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.