Organization Active NPI

Ams Medical Group

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1003320730
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME74515 Issued in FL
Legal business name
AMS MEDICAL GROUP
Practice address
2258 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4421
Phone
(407) 750-8750
Fax
(407) 750-8752
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Mrs. Nidia Gomez
Title
Owner/Office Manager
Phone
(407) 750-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME74515 FL Primary

Addresses

Primary practice location

2258 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4421

Mailing address

2258 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4421
Phone (407) 750-8750

National Provider Directory

National Provider Directory

Locations

2258 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 750-8750

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1003320730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 E IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444421",
            "telephone_number": "407-750-8750",
            "fax_number": "407-750-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 E IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444421",
            "telephone_number": "407-750-8750",
            "fax_number": "407-750-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "407-750-8750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.