Banana Wind Medical Group, L.L.C

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

RN9246384 Issued in FL

Legal business name

BANANA WIND MEDICAL GROUP, L.L.C

Doing business as

Dynamik Health Care

Practice address

11335 Commercial St
Orlando, FL 32836-6216

Phone

(407) 259-8731

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Eric Lee Shaver, R.N.NPI 1972078517

Title

Director of Nursing

Phone

(321) 315-3601

Specialties & licenses 1

Addresses

Other names 1

• Dynamik Health Care Doing business as

Locations

Practitioners 2

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

• Eric Shaver

  • Administrator Registered Nurse
  • Orlando, FL
  • NPI 1972078517
  NPD (past) Authorized official
• Heather Fogle Shaver, LCSW

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1619327327
  NPD (past)

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1245788595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W PINE ST",
            "address_2": "SUITE 218",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012610",
            "telephone_number": "407-259-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 COMMERCIAL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366216",
            "telephone_number": "407-259-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANANA WIND MEDICAL GROUP, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "321-315-3601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "RN9246384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamik Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Balta, MD
• Carrie Nicole Balthazar, ARNP
• Saba Balvardi
• Carmelita Bamba Dagani, MD
• Ajoke Bamisile, M.D.
• Michael Lawrence Banda, PA-C
• Tanmai Bandarupalli
• Waldyr Mauricio Banderas Echeverry, MD
• Norka Silene Bandes
• Mirelys Bandomo Reboso, RBT

• Home Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.