MPP Infusion Center of Doctor Phillips, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MPP INFUSION CENTER OF DOCTOR PHILLIPS, LLC

Practice address

6068 S Apopka Vineland Rd Ste 4
Orlando, FL 32819-4449

Phone

(720) 465-5030

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Ellen Davis

Title

President

Phone

(303) 384-4100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1003465253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 COLE BLVD STE 225",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013377",
            "telephone_number": "720-465-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6068 S APOPKA VINELAND RD STE 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194449",
            "telephone_number": "720-465-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPP INFUSION CENTER OF DOCTOR PHILLIPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-384-4100"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MRI and 3D Diagnostic Center LLC

• Rheumatology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.