Amelia Respiratory and Sleep Medicine LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

AMELIA RESPIRATORY AND SLEEP MEDICINE LLC

Practice address

1560 Park LN
Fernandina Beach, FL 32034-1940

Phone

(904) 304-9068

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kathia Ortiz-Cantillo, MDNPI 1841301140

Title

Owner

Phone

(904) 304-9068

Specialties & licenses 1

Addresses

Other names 1

• Amelia Pulmonary and Sleep Medicine LLC Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Kathia A. Ortiz-Cantillo, M.D,

  • Critical Care Medicine (Internal Medicine) Physician
  • Fernandina Beach, FL
  • NPI 1841301140
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1508480864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 YARD ARM WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320346001",
            "telephone_number": "904-304-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 PARK LN",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341940",
            "telephone_number": "904-304-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA RESPIRATORY AND SLEEP MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-CANTILLO",
        "authorized_official_first_name": "KATHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-304-9068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelia Pulmonary and Sleep Medicine LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amelia Island Senior Wellness LLC
• Amelia Island Surgery Center LLC
• Amelia Island Surgery Center LLC
• Amelia Perfect Smiles
• Amelia Psychological Services, LLC
• Amelia Therapy Services, Inc
• Amelia Urgent Care LLC
• Amelia Urgent Care LLC
• Anchored Hope LLC
• John Authur Anderson, DMD MS

• Medical Specialty Clinic/Center in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.