Mid-Florida Pathology LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MID-FLORIDA PATHOLOGY LLC

Practice address

2100 Prevatt St
Eustis, FL 32726-6130

Phone

(352) 305-8903

Fax

(352) 460-0785

NPI assigned

Apr 9, 2012

Last updated

Aug 15, 2022By 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

Dr. James Kyle Allen II, MDNPI 1073592812

Title

Director

Phone

(352) 460-0292

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mid-Florida Pathology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-Florida Pathology

  • Clinical Medical Laboratory
  • Leesburg, FL
  • NPI 1679949333
  NPD tax ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 18

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.

• James K Allen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Leesburg, FL
  • NPI 1073592812
  Medicare reassignment NPD Authorized official
• Mohammad A. Abuel-Haija, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1518121888
  Medicare reassignment NPD
• Martin R Austria, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Eustis, FL
  • NPI 1902885999
  Medicare reassignment NPD
• Ana Luiza Coelho, MD

  • Anatomic Pathology Physician
  • Orlando, FL
  • NPI 1457471666

  Cytopathology

  Medicare reassignment NPD
• Liurka V Lopez, M.D.

  • Anatomic Pathology Physician
  • Daytona Beach, FL
  • NPI 1801145032
  Medicare reassignment NPD
• Juan Jose Mercado, M.D.

  • Anatomic Pathology Physician
  • Daytona Beach, FL
  • NPI 1922362516
  Medicare reassignment NPD
• Sabine R Olaughlin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jacksonville, FL
  • NPI 1508824228
  Medicare reassignment NPD
• Archi Patel, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1710368501
  Medicare reassignment NPD
• Eric Rudnick, M.D.

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1790171353
  Medicare reassignment NPD
• Saira Shah

  • Anatomic Pathology Physician
  • Tampa, FL
  • NPI 1801051545
  Medicare reassignment NPD
• Robb Elliott Wilentz, MD

  • Dermatopathology (Pathology) Physician
  • Aventura, FL
  • NPI 1033115209
  Medicare reassignment NPD
• Hamed A Elfeky, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Alexandria, VA
  • NPI 1942245378

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1265798870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490940",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347490940",
            "telephone_number": "352-460-0292",
            "fax_number": "352-460-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PREVATT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266130",
            "telephone_number": "352-305-8903",
            "fax_number": "352-460-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 SW 7th St",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "FL",
            "postal_code": "326962403",
            "country_code": "US",
            "telephone_number": "352-308-8903",
            "fax_number": "352-460-0785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9350 BAY PLAZA BLVD STE 120-26, 27",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33619",
            "country_code": "US",
            "telephone_number": "352-308-8903",
            "fax_number": "352-460-0785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 E North Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485241",
            "country_code": "US",
            "telephone_number": "352-460-0292",
            "fax_number": "352-460-0785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-FLORIDA PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-460-0292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosarlem S Mejias, ARNP
• Jean Ricot Merissaint
• Terri Anne Meyer, LMHC
• MF Lake Eustis LLC (Lake Eustis Health and Rehabilitation Center)
• Michael Pennachio, LLC
• Mid-Florida Pulmonary Associates PA
• Erin Milburn
• Lauren Miller, SLPA
• Devin Moberg
• Mobile Practitioner LLC

• Anatomic Pathology & Clinical Pathology Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.