DCHD Health Care Professionals LLC
Organization Active NPI Specialist · Arcadia, FL
NPI 1346563897 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1346563897
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 4218 (FL)
- Legal business name
- DCHD HEALTH CARE PROFESSIONALS LLC
- Practice address
- 900 North Robert Avenue
Arcadia, FL 34266-8712 - Phone
- (863) 494-8403
- Fax
- (863) 491-4328
- NPI assigned
- Mar 11, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Vincent A Sica
- Title
- Ceo
- Phone
- (863) 494-8403
Member of 2
Practitioners 54
-
Bassam Altajar, MD
-
Gregory Arov, DO
-
Jason S Okuhara, DO
-
Michael Walsh, CRNA
-
Theodore Frank Collier, CRNA
-
Joseph Liebenrood, CRNA
-
Kairav Shah, MD
-
Keerthana Akkineni, M.D.
-
Ziad Alnabki, M.D.
-
William Charles Barrow, M.D.
-
Mai-Lynn Bui, DO
-
Justin De'Prey, MD
-
Neetu Dhadwal, M.D.
-
Steven Gary Fein, M.D.
-
Joseph Frank Lacava, CRNA
-
Nathan Grant Lawrence, M.D.
-
Robert E Malka, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in FL, GA, TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100907000065 | FL | Part B Supplier - Clinic/Group Practice | 6800910365 |
Receives reassigned benefits from 37 practitioners Practice locations: Arcadia, FL; Wauchula, FL |
| O20201009001550 | GA | Part B Supplier - Clinic/Group Practice | 6800910365 |
Receives reassigned benefits from 10 practitioners Practice locations: Stockbridge, GA |
| O20221119000456 | TN | Part B Supplier - Clinic/Group Practice | 6800910365 |
Receives reassigned benefits from 8 practitioners Practice locations: Knoxville, TN |
National Provider Directory
Locations
2400 N Orange Blossom Trl
#1102
Kissimmee, FL 34744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 4218 | FL | Yes |
Addresses
Primary practice location
900 North Robert Avenue
Arcadia, FL 34266-8712
Mailing address
900 North Robert Avenue
Arcadia, FL 34266-8712
Phone (863) 494-8403
Other practice location 1
201 E Gibson St
Arcadia, FL 34266-4707
Phone (863) 491-4226
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.