Organization Active NPI

Health Ventures LLC

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1467654053
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85807 Issued in FL
Legal business name
HEALTH VENTURES LLC
Practice address
745 Orienta Avenue
Ste #1191
Altamonte Springs, FL 32701
Phone
(407) 331-6236
Fax
(407) 331-6953
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Stephen Philip Nimbargi, MDNPI 1811955362
Title
Owner
Phone
(407) 782-3702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME85807 FL Primary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X ME85807 FL

Addresses

Primary practice location

745 Orienta Avenue
Ste #1191
Altamonte Springs, FL 32701

Mailing address

PO Box 150038
Altamonte Springs, FL 32715-0038
Phone (407) 331-6236

Other identifiers 6

IdentifierTypeStateIssuer
1852839OtherFLUNITED HEALTH CARE
5324701OtherFLAETNA
113345OtherFLAMERIGROUP
26574200MedicaidFL
62948OtherFLBCBS
8665410OtherFLCIGNA

Other names 1

  • Kidz and Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Ventures LLC2 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.

Locations

745 Orienta Ave
Ste 1191
Altamonte Springs, FL 32701
Phone (407) 331-6236

1565 Saxon Blvd
Ste 101
Deltona, FL 32725
Phone (386) 532-0094

1091 Port Malabar Blvd NE
Ste 3
Palm Bay, FL 32905
Phone (321) 723-4616

4063 N Goldenrod Rd
Ste 101
Winter Park, FL 32792

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1467654053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150038",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327150038",
            "telephone_number": "407-331-6236",
            "fax_number": "407-331-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVENUE",
            "address_2": "STE #1191",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-331-6236",
            "fax_number": "407-331-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "NIMBARGI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-782-3702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85807",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME85807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1852839",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5324701",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "113345",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26574200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62948",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8665410",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz and Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.