Loretta Cantilli, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME56980 Issued in FL

Practice address

801 West Oak Street
Suite 101
Kissimmee, FL 34741

Phone

(407) 846-3455

Fax

(407) 846-3670

NPI assigned

Oct 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alexandrina Loretta Cantilli Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Gulf Coast Emergency Physicians PA

  • Emergency Medicine Physician
  • Ft Myers, FL
  • NPI 1124013149
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1194712935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WEST OAK STREET",
            "address_2": "SUITE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-846-3455",
            "fax_number": "407-846-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WEST OAK STREET",
            "address_2": "SUITE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-846-3455",
            "fax_number": "407-846-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTILLI",
        "first_name": "LORETTA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME56980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRINA",
            "last_name": "CANTILLI",
            "middle_name": "LORETTA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Quinton Micheal Cannon
• Tranard Cannon
• Angelica Maria Cano Montoya, M.D.
• Shirley Karina Cano
• Eduard Canoura
• Nina Cantor, LPN
• Joseph Caleb Cantu
• Billy Jr Cao, DMD
• Kylie Caouette
• Carmen C Capella, PSYD

• Pediatrics Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pediatrics Physician in Florida

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