SNF Professional Physicians of Florida LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SNF PROFESSIONAL PHYSICIANS OF FLORIDA LLC

Practice address

117 Celebration Blvd
Celebration, FL 34747-5009

Phone

(407) 900-0390

NPI assigned

Oct 17, 2013

Last updated

Oct 17, 2013By 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

Pamela R Glover

Title

Owner

Phone

(863) 412-5962

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1346678901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CELEBRATION BLVD",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475009",
            "telephone_number": "407-900-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CELEBRATION BLVD",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475009",
            "telephone_number": "407-900-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNF PROFESSIONAL PHYSICIANS OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-412-5962"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Rajan Simon, MD
• Kimberly Rani Singh, PT
• Stephanie Sinnett, RD
• Dennis C Smith Jr., MD
• Rachael Ann Haley Smithey, LMFT
• Alison Snover, COTA
• Carlos Luis Solano Loran, M.D.
• Kaylee Nycole Somers, PA-C
• Soheil Sooudi, MD
• Precious Monique Spencer, PMHNP-BC, APRN

• Family Medicine Physician in Celebration, FL
• Providers in Celebration, 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 Oct 17, 2013; 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.