Ocean Cedar Clinic P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OCEAN CEDAR CLINIC P A

Practice address

4957 Elon Cres
Lakeland, FL 33810-3718

Phone

(863) 660-3783

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mitko Badov, M.D.

Title

President

Phone

(863) 660-3783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1548439227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3636",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335093636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 ELON CRES",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103718",
            "telephone_number": "863-660-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN CEDAR CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "BADOV",
        "authorized_official_first_name": "MITKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-660-3783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Occupational Health Centers of the Southwest, P.a. (FL) (Concentra Medical Center)
• Occupational Health Partners, Inc
• Ocean Blue Behavior Therapy Inc
• Leanet Oceguera
• Kimberly Ochs, MS-CCC-SLP
• Maria Solina Napiza Oconer, M.D.
• Stanise Octave
• Amy Odermatt

• Internal Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.