Mid-Florida Pathology

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MID-FLORIDA PATHOLOGY

Practice address

120 E North Blvd Ste 102
Leesburg, FL 34748-5241

Phone

(352) 460-0292

NPI assigned

Aug 18, 2015

Organization subpart

No

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

Authorized official

Name

Gilmar Tadioto

Title

Cfo

Phone

(352) 460-0292

Specialties & licenses 1

Addresses

Other identifiers 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

Tax ID family

Mid-Florida Pathology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-Florida Pathology LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Eustis, FL
  • NPI 1265798870
  NPD tax ID

Locations

Practitioners 3

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

• James K Allen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Leesburg, FL
  • NPI 1073592812
  NPD
• Ana Luiza Coelho, MD

  • Anatomic Pathology Physician
  • Orlando, FL
  • NPI 1457471666
  NPD (past)
• Archi Patel, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1710368501
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1679949333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E NORTH BLVD STE 102",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485241",
            "telephone_number": "352-460-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E NORTH BLVD STE 102",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485241",
            "telephone_number": "352-460-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "TADIOTO",
        "authorized_official_first_name": "GILMAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-460-0292"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006243500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid Florida Cardiovascular Anesthesia Associates PA
• Mid Florida Eye Center PA
• Mid Florida Hearing, LLC
• Mid Florida Medical
• Mid Florida Primary Care PA
• Mid-Florida Primary Care
• Mid-Florida Primary Care PA
• Marwan Mihyu, M.D.
• Brooklyn Charity Miller
• Kendra Miller

• Clinical Medical Laboratory in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.