Outcome Based Delivery Systems Acquisition Company, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME103291 Issued in FL

Legal business name

OUTCOME BASED DELIVERY SYSTEMS ACQUISITION COMPANY, LLC

Doing business as

Coral Gate Family Medical Center, LLC

Practice address

1120 Citrus Tower Blvd
Suite # 300
Clermont, FL 34711-1909

Phone

(352) 243-0206

NPI assigned

Jun 5, 2009

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pateesha Bruten

Title

Billing Manger

Phone

(954) 656-8855

Specialties & licenses 1

Addresses

Other names 1

• Coral Gate Family Medical Center, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathy N. Nguyen Casado, M.D.

  • Internal Medicine Physician
  • Clermont, FL
  • NPI 1730207317

  Family Medicine

  NPD

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1205062163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N UNIVERSITY DR",
            "address_2": "SUITE # 110",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655081",
            "telephone_number": "954-656-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CITRUS TOWER BLVD",
            "address_2": "SUITE # 300",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111909",
            "telephone_number": "352-243-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTCOME BASED DELIVERY SYSTEMS ACQUISITION COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "BRUTEN",
        "authorized_official_first_name": "PATEESHA",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "954-656-8855"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Gate Family Medical Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn H Osterweil, D.P.M.
• Robert George Ostheim III, D.C.
• Natsue Otake-Ferree, RDN
• Angeles Ivette Otero, M.D.
• Monica Maria Otero
• Frederick Owusu-Ofori, RPH
• April Louise Oxford, MD
• John Jeffrey Oyler
• Karla Ozuna-Catalan
• Julio Cesar Paez, MD

• Family Medicine Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.