Gaia Holistic Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GAIA HOLISTIC PRIMARY CARE LLC

Practice address

430 State Road 436 Ste 224
Casselberry, FL 32707-4965

Phone

(786) 449-5448

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Amabel Lubaton, APRNNPI 1093241663

Title

Owner

Phone

(786) 449-5448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Amabel Tangunan Lubaton, ARNP

  • Family Nurse Practitioner
  • Casselberry, FL
  • NPI 1093241663
  Medicare reassignment NPD Authorized official
• Lenie Apolinario Depamaylo, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
  • NPI 1427578301
  Medicare reassignment NPD
• Tima Doron, ARNP

  • Family Nurse Practitioner
  • Kissimmee, FL
  • NPI 1881055473
  Medicare reassignment NPD
• Joy Tuzon Sera-Josef, APRN

  • Primary Care Nurse Practitioner
  • Casselberry, FL
  • NPI 1336175827
  NPD
• William James Kelly, FNP-C

  • Nurse Practitioner
  • Marlton, NJ
  • NPI 1629574637
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1346863107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 STATE ROAD 436 STE 224",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074965",
            "telephone_number": "786-449-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 STATE ROAD 436 STE 224",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074965",
            "telephone_number": "786-449-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIA HOLISTIC PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "LUBATON",
        "authorized_official_first_name": "AMABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-449-5448",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee N Fowler, APRN
• Nikesha Frederick
• Fresenius Medical Care Casselberry, LLC (Fresenius Kidney Care Casselberry)
• Fringe Counseling Collective
• Fyziotherapy (Rehability Physical Therapy)
• Laura S Galan II
• Sudha R Ganti, M.D.
• Rasmich Garcia de la Torre
• Melissa Garcia
• Gardens of Eastbrooke LLC (Gardens of Eastbrooke)

• Family Medicine Physician in Casselberry, FL
• Providers in Casselberry, 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 Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.