Active NPI
Mark Ragoonanan, ARNP
- Nurse Practitioner
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11001275
- Practice address
- 525 Technology Park Ste 109
Lake Mary, FL 32746-7107 - Phone
- (407) 920-3738
- NPI assigned
- May 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11001275 | FL | Primary |
Addresses
Primary practice location
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Mailing address
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (407) 920-3738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 S Avalon Park Blvd
Orlando, FL 32828-6781
Phone (407) 295-7557
3840 State Rd
436 Suite 1000
Apopka, FL 32703-6041
Phone (615) 600-4074
5355 Red Bug Lake Rd
Winter Springs, FL 32708-4909
Phone (321) 304-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11001275 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solantic of Jacksonville, LLC | Current | Accepting new patients | |
| Hma/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Carespot of Orlando Hsi Urgent Care LLC | Current | Accepting new patients | |
| Solantic/South Florida, LLC | Current | Accepting new patients | |
| West Boynton Urgent Care, LLC | Current | Accepting new patients |
Locations
3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202
8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273
1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463
2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337
18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280
9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881
1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200
463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba CareSpot Urgent Care / CareSpot - Clermont
- Urgent Care Clinic/Center
- Orlando, FL
- NPI 1306367503
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1689812109
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1851344378
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1003172628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1477119618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 TECHNOLOGY PARK STE 109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467107",
"telephone_number": "407-920-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TECHNOLOGY PARK STE 109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467107",
"telephone_number": "407-920-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGOONANAN",
"first_name": "MARK",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11001275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.