MACDERMOTT GROUP LLC NPI 1689902199

NPI Information

  • NPI: 1689902199
  • Provider Name: MACDERMOTT GROUP, LLC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Doing Business As: ORLANDO RESORTS SPINE & BODY
  • Address: 2940 MALLORY CIR STE 205
    KISSIMMEE, FL
    ZIP 34747
  • Phone: (407) 507-6976

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NPI Details

MACDERMOTT GROUP, LLC is a nurse practitioner in Kissimmee, FL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MACDERMOTT GROUP, LLC NPI is 1689902199. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Orlando Resorts Spine & Body.

The provider's business location address is:

2940 MALLORY CIR STE 205
KISSIMMEE, FL
ZIP 34747-818
Phone: (407) 507-6976

The provider's authorized official is Jeremy Good .
The authorized official title is Chiropractor and has the following contact phone number (843) 697-6994.

The enumeration date for this NPI number is 11/20/2009 and was last updated on 6/4/2024.

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
1111N00000XChiropractorNo
2261Q00000XClinic/CenterNo
3363L00000XNurse PractitionerYes

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
11689902199OTHERFLORIDAGROUP NPI
22201BOTHERFLORIDABCBS

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: 11/21/2025

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