FAMILY MEDICINE & CLINICAL RESEARCH OF CENTRAL FLORIDA LLC NPI 1730378241

NPI Information

NPI: 1730378241
Provider Name: FAMILY MEDICINE & CLINICAL RESEARCH OF CENTRAL FLORIDA LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1603 S HIAWASSEE RD
SUITE 115
ORLANDO, FL
ZIP 32835
Phone: (407) 299-6700
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FAMILY MEDICINE & CLINICAL RESEARCH OF CENTRAL FLORIDA LLC is a primary care clinic center in Orlando, FL. FAMILY MEDICINE & CLINICAL RESEARCH OF CENTRAL FLORIDA LLC NPI is 1730378241. The provider is registered as an organization entity type.

The provider's business location address is:

1603 S HIAWASSEE RD
SUITE 115
ORLANDO, FL
ZIP 32835-438
Phone: (407) 299-6700
Fax: (407) 299-2265

The provider's authorized official is Dennis George Gay .
The authorized official title is President / Ceo and has the following contact phone number (407) 451-1849.

The enumeration date for this NPI number is 10/21/2007 and was last updated on 7/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	PA9102434	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	173000000X	OTHER	FLORIDA	PRIMARY TAXONOMY
2	D57952	MEDICARE UPIN	FLORIDA
3	Q72020	MEDICARE UPIN	FLORIDA
4	U8179Z	MEDICARE OSCAR/CERTIFICATION	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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