Cfagi, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CFAGI, LLC

Practice address

740 South Concourse Parkway
Suite 200
Maitland, FL 32751

Phone

(407) 644-4014

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Carol Crump

Title

President, Board of Managers

Phone

(615) 760-6588

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 8

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

• Yasmin Dianaris Gonzalez

  • Family Nurse Practitioner
  • Longwood, FL
  • NPI 1639951254
  Medicare reassignment NPD
• Raouf Hilal, MD

  • Gastroenterology Physician
  • Maitland, FL
  • NPI 1427161793
  Medicare reassignment NPD
• Andria Michael Mushahwar, MD

  • Gastroenterology Physician
  • Maitland, FL
  • NPI 1023110814
  Medicare reassignment NPD
• Paul S Panzarella, M.D.

  • Gastroenterology Physician
  • Maitland, FL
  • NPI 1275813057
  Medicare reassignment NPD
• Joseph John Quagliata, MD

  • Gastroenterology Physician
  • Maitland, FL
  • NPI 1750575395
  Medicare reassignment NPD
• Tina Bruefach, PA

  • Medical Physician Assistant
  • Ocoee, FL
  • NPI 1033221411
  Medicare reassignment
• Hannah Sleppy, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1386107985
  Medicare reassignment
• Demittre Andre Anthony Sorenson, PA-C

  • Medical Physician Assistant
  • Maitland, FL
  • NPI 1881264455
  Medicare reassignment

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1467901520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "SUITE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 SOUTH CONCOURSE PARKWAY",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-644-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12601 Narcoossee Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326923",
            "country_code": "US",
            "telephone_number": "706-641-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4106 W Lake Mary Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462403",
            "country_code": "US",
            "telephone_number": "407-644-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CFAGI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "615-760-6588"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019722701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Florida Detox, LLC
• Central Florida Endocrine & Diabetes Consultants P a
• Central Florida Integrated Wellness Clinic PLLC
• Central Florida Wound and Derm LLC
• Lineda A Cereste, APRN, PMHNP
• Nicole Chacho, MA
• Joshua Francisco Chacon, D.O.
• Nyoaka Kimberly Chambers
• Hannah Shae Chamblee
• Deborah H. Chambless

• Gastroenterology Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.