Active NPI 1497981187 Individual Practitioner Female Practitioner

Dr. Aasma Riaz , MD

Internal Medicine • Clermont, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Aasma Riaz, MD is a certified Internal Medicine practicing in Clermont, FL. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Riaz delivers high-quality medical care to the local community at 1920 DON WICKHAM DR STE 140.

Dr. Riaz maintains professional affiliations with City Healthcare Llc, Ability Health Services, Inc, Ability Health Services And Rehabilitation Lp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual alcohol misuse screening, 5 to, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1920 Don Wickham Dr Ste 140

Clermont, FL 347111978

Telephone 3522273341

Fax 3522273342

Associated Practice Facility / Clinic

🏢 City Healthcare, Llc Facility NPI 1346740214

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Clermont, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +6.4 yrs vs City Avg

City Avg: 15.6 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

96 Specialists

Practicing in Clermont, FL (10650 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Riaz (22 Years) 22 Yrs

Clermont Specialty Average (15.6 Years) 15.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,078	301	$251.00	$124.57
99213 Established patient office or other outpatient visit, typically 15 minutes	276	154	$179.26	$88.26
G0442 Annual alcohol misuse screening, 5 to 15 minutes	263	263	$37.00	$17.96
G0444 Annual depression screening, 5 to 15 minutes	245	245	$36.00	$17.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	237	237	$256.00	$125.63
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	92	72	$140.00	$68.88
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	79	76	$53.00	$24.64
93925 Ultrasound of leg arteries or artery grafts	74	72	$465.00	$225.28
93880 Ultrasound of both sides of head and neck blood flow	73	70	$372.00	$170.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	71	17	$3.00	$0.97
99496 Transitional care management services for problem of high complexity	51	43	$543.00	$269.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	42	$356.00	$176.11
G0008 Administration of influenza virus vaccine	47	47	$35.00	$31.66
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$29.00	$13.90
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$45.00	$21.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$331.00	$163.68
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	31	24	$33.00	$16.20
36415 Insertion of needle into vein for collection of blood sample	26	24	$6.00	$5.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	20	$28.00	$13.35
94618 Test for exercise-induced lung stress	24	23	$66.00	$32.71
94729 Test to examine how well the lungs exchange gases	23	22	$109.00	$52.83
94726 Determination of lung volumes using plethysmography	23	22	$105.00	$52.53
94060 Test to measure expiratory airflow and volume changes before and after medication administration	22	21	$75.00	$36.66
99497 Advance care planning, first 30 minutes	18	18	$167.00	$80.05
69210 Removal of impacted ear wax	17	14	$95.00	$46.87
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	15	$371.00	$182.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$104.00	$51.52
87420 Detection test by immunoassay technique for respiratory syncytial virus (rsv)	15	15	$28.00	$13.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$438.00	$215.82
99495 Transitional care management services for problem of at least moderate complexity	12	12	$403.00	$198.77
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$329.00	$159.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,045	279	$251.00	$124.50
G0442 Annual alcohol misuse screening, 5 to 15 minutes	255	255	$37.00	$17.49
G0444 Annual depression screening, 5 to 15 minutes	236	236	$36.00	$17.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	227	227	$256.00	$125.73
99213 Established patient office or other outpatient visit, typically 15 minutes	191	123	$179.00	$87.21
99497 Advance care planning, first 30 minutes	116	115	$167.00	$80.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	109	30	$3.26	$1.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	59	$28.00	$13.70
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	82	82	$53.00	$25.30
99496 Transitional care management services for problem of high complexity	76	54	$543.00	$257.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	41	$356.00	$175.65
93000 Routine ekg using at least 12 leads including interpretation and report	32	29	$29.00	$14.16
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	31	31	$40.00	$20.45
G0008 Administration of influenza virus vaccine	31	31	$35.00	$30.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$331.00	$164.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	16	$111.00	$54.32
99495 Transitional care management services for problem of at least moderate complexity	17	15	$403.00	$188.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$104.00	$50.61
69210 Removal of impacted ear wax	16	14	$95.00	$47.09
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$33.00	$16.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$329.00	$153.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,002	269	$251.00	$125.54
11042 Removal of skin and tissue, 20.0 sq cm or less	337	64	$255.00	$60.48
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	233	18	$83.00	$27.42
G0442 Annual alcohol misuse screening, 5 to 15 minutes	202	201	$37.00	$17.62
G0444 Annual depression screening, 5 to 15 minutes	186	186	$36.00	$17.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	186	186	$256.00	$127.05
99213 Established patient office or other outpatient visit, typically 15 minutes	124	86	$179.00	$89.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	17	$3.27	$1.08
99497 Advance care planning, first 30 minutes	76	75	$167.00	$82.90
99496 Transitional care management services for problem of high complexity	75	51	$543.00	$267.20
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	66	66	$53.02	$25.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$331.00	$164.58
99213 Established patient office or other outpatient visit, typically 15 minutes	48	26	$179.00	$67.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	36	$111.00	$36.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	19	$28.00	$13.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	29	$104.00	$52.18
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$29.00	$14.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	14	$251.00	$98.42
99495 Transitional care management services for problem of at least moderate complexity	21	18	$403.00	$194.59
36415 Insertion of needle into vein for collection of blood sample	17	17	$6.00	$2.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$356.00	$179.71
G0008 Administration of influenza virus vaccine	15	15	$35.00	$28.66
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$40.00	$20.07
96127 Assessment of emotional or behavioral problems	13	13	$10.00	$4.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	770	222	$262.92	$128.25
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	345	14	$85.00	$27.85
11042 Removal of skin and tissue, 20.0 sq cm or less	318	59	$264.46	$60.31
G0442 Annual alcohol misuse screening, 5 to 15 minutes	174	174	$36.98	$18.15
G0444 Annual depression screening, 5 to 15 minutes	155	155	$36.73	$18.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$264.09	$130.97
99213 Established patient office or other outpatient visit, typically 15 minutes	117	78	$185.08	$91.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	17	$45.71	$1.29
36415 Insertion of needle into vein for collection of blood sample	77	54	$38.44	$3.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	62	61	$53.93	$26.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$347.02	$169.08
99213 Established patient office or other outpatient visit, typically 15 minutes	50	27	$183.87	$68.39
99496 Transitional care management services for problem of high complexity	48	41	$564.58	$276.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	32	$112.41	$36.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	19	$30.41	$13.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	19	$260.70	$100.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$235.32	$85.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	22	$47.66	$22.18
11042 Removal of skin and tissue, 20.0 sq cm or less	26	12	$269.86	$127.07
97597 Removal of tissue from wound, 20.0 sq cm or less	26	14	$205.35	$36.58
99497 Advance care planning, first 30 minutes	25	25	$172.16	$85.52
93000 Routine ekg using at least 12 leads including interpretation and report	24	21	$31.70	$14.80
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	12	$79.25	$40.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$99.99	$52.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$334.00	$167.04
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$140.00	$19.91
G0008 Administration of influenza virus vaccine	18	18	$20.00	$16.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$262.48	$112.81
96127 Assessment of emotional or behavioral problems	13	13	$11.31	$4.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$398.50	$181.61
99495 Transitional care management services for problem of at least moderate complexity	12	12	$421.52	$198.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	435	152	$320.27	$107.96
11042 Removal of skin and tissue, 20.0 sq cm or less	256	66	$353.00	$62.04
G0442 Annual alcohol misuse screening, 5 to 15 minutes	99	99	$55.00	$17.43
G0444 Annual depression screening, 5 to 15 minutes	89	89	$54.00	$17.69
99213 Established patient office or other outpatient visit, typically 15 minutes	85	55	$218.00	$73.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$347.81	$113.56
99213 Established patient office or other outpatient visit, typically 15 minutes	69	50	$218.00	$52.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	13	$24.09	$1.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	32	$321.00	$80.33
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	64	16	$695.00	$164.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$324.00	$77.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$494.00	$163.14
99496 Transitional care management services for problem of high complexity	42	30	$675.90	$233.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$324.00	$106.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	20	$153.28	$53.33
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	28	$70.00	$18.49
97597 Removal of tissue from wound, 20.0 sq cm or less	27	16	$246.00	$38.01
36415 Insertion of needle into vein for collection of blood sample	26	21	$20.00	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	17	$434.00	$126.77
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	21	21	$78.00	$25.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	13	$61.00	$14.07
G0008 Administration of influenza virus vaccine	17	17	$47.82	$15.41
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$51.00	$17.00
96127 Assessment of emotional or behavioral problems	13	13	$19.00	$4.55
99497 Advance care planning, first 30 minutes	13	13	$249.85	$86.66
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$64.00	$22.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	77	$321.00	$107.55
11042 Removal of skin and tissue, 20.0 sq cm or less	183	63	$353.00	$62.31
99213 Established patient office or other outpatient visit, typically 15 minutes	91	55	$218.00	$72.95
99213 Established patient office or other outpatient visit, typically 15 minutes	74	45	$218.00	$50.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$324.00	$77.83
97597 Removal of tissue from wound, 20.0 sq cm or less	50	31	$246.00	$24.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	24	$321.00	$79.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$494.00	$165.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$324.00	$107.58
G0442 Annual alcohol misuse screening, 5 to 15 minutes	31	31	$55.00	$17.84
G0444 Annual depression screening, 5 to 15 minutes	29	29	$54.00	$17.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$349.00	$115.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	132	41	$353.00	$62.51
99213 Established patient office or other outpatient visit, typically 15 minutes	82	52	$218.00	$51.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	43	$286.30	$106.82
97597 Removal of tissue from wound, 20.0 sq cm or less	46	26	$246.00	$24.09
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$174.24	$72.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	29	$321.00	$78.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$482.28	$164.29
G0442 Annual alcohol misuse screening, 5 to 15 minutes	17	17	$55.00	$17.91
36415 Insertion of needle into vein for collection of blood sample	14	14	$6.00	$2.94
G0444 Annual depression screening, 5 to 15 minutes	13	13	$54.00	$17.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	93	$140.00	$72.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	78	$207.00	$106.02
36415 Insertion of needle into vein for collection of blood sample	32	26	$6.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	11	$46.00	$24.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$84.00	$42.75

Medical Specialties & State Licenses

CMS Verified: 2021-10-04

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME124473

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NY 270211

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

015242800 (FL)

Medicaid State Provider ID

03595746 (NY)

Commercial Insurance / Payer ID Bcbs

151NY (FL)

Hospital & Practice Group Affiliations

City Healthcare Llc

3232 Citrus Tower Blvd, Clermont, FL 347117012

Phone: 3522273341

Ability Health Services, Inc

1200 Lexington Green Ln, Sanford, FL 327711013

Ability Health Services And Rehabilitation Lp

1200 Lexington Green Ln, Sanford, FL 327711013

City Healthcare Llc

3232 Citrus Tower Blvd, Clermont, FL 347117012

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Adam Martin , APRN, FNP-C

Nurse Practitioner - Family

NPI 1427779008

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Darlyne Nezier , FNP

Nurse Practitioner - Family

NPI 1508460247

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2021

Internal Medicine (License #ME124473 in FL)

📍

Updated Practice Location March 17, 2018

Registered at 1920 DON WICKHAM DR STE 140, CLERMONT, FL 347111978 (Tel: 3522273341)

📍

Updated Business Mailing Address March 17, 2018

Registered at 1920 DON WICKHAM DR STE 140, CLERMONT, FL 347111978 (Tel: 3522273341)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #270211 in NY)

📍

Updated Practice Location March 06, 2018

Registered at 1920 DON WICKHAM DR STE 140, CLERMONT, FL 347111978 (Tel: 3522273341)

📍

Updated Business Mailing Address March 06, 2018

Registered at 1920 DON WICKHAM DR STE 140, CLERMONT, FL 347111978 (Tel: 3522273341)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2018

Internal Medicine (License #270211 in NY)

✅

NPI Profile Active June 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2017

Registered at 5350 SPRING HILL DR, SPRING HILL, FL 346064562 (Tel: 3526888116)

📍

Updated Business Mailing Address June 07, 2017

Registered at 14690 SPRING HILL DR, SUITE 101, SPRING HILL, FL 346098102 (Tel: (352) 799-0046)

👤

Provider Name / Credentials Updated June 07, 2017

Recorded as AASMA RIAZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2017

Internal Medicine (License #ME124473 in FL)

✅

NPI Profile Active October 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2015

Registered at 5350 SPRING HILL DR, SPRING HILL, FL 346064562 (Tel: 3526888116)

📍

Updated Business Mailing Address October 02, 2015

Registered at 14690 SPRING HILL DR, SUITE 101, SPRING HILL, FL 346098102 (Tel: 3527990046)

👤

Provider Name / Credentials Updated October 02, 2015

Recorded as AASMA RIAZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2015

Internal Medicine (License #ME124473 in FL)

🟢

Initial NPI Registration & Enumeration June 08, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497981187

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 08, 2009

Last Update: October 04, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1920 Don Wickham Dr Ste 140

Clermont, FL 347111978

Phone: 3522273341

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.