Commonhealth Services Corp.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME69780 Issued in FL

Legal business name

COMMONHEALTH SERVICES CORP.

Practice address

733 N 3Rd St
Leesburg, FL 34748-4441

Phone

(352) 435-7214

Fax

(352) 435-7553

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Carlos Manuel De la Cruz, R.PH.

Title

Ceo

Phone

(407) 275-1373

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1659820546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MAPLE FOREST DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256450",
            "telephone_number": "407-275-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N 3RD ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484441",
            "telephone_number": "352-435-7214",
            "fax_number": "352-435-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONHEALTH SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-275-1373",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME69780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379673600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Cole, MD
• Charlene Coleman, LMT
• Yaneris Colon Barreto, MD
• Cheryl Comes
• Comfortable Care Dental Health Professionals, P.a.
• Community Health Alliance LLC
• Community Health Centers Inc
• Community Health Centers, Inc
• Community Health Centers, Inc
• Compassionate Presence Therapy, LLC

• Pediatrics Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.