Orlando Physician Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ORLANDO PHYSICIAN GROUP LLC

Practice address

222 Broadway
Kissimmee, FL 34741-5781

Phone

(407) 718-6290

Fax

(407) 930-8992

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Sadek, MD

Title

Owner

Phone

(407) 718-3492

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1013533975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064446",
            "telephone_number": "407-704-8380",
            "fax_number": "407-930-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BROADWAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415781",
            "telephone_number": "407-718-6290",
            "fax_number": "407-930-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "SADEK",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-718-3492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nppes",
            "affiliation": "N",
            "address_1": "222 Broadway",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347415781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Orlando Infectious Disease Consultancy Services PL
• Orlando Infectious Disease Consultancy Services, PL
• Orlando Medical Rentals, L.L.C
• Orlando Pediatric Training Center LLC,
• Orlando Pediatrics
• Orlando Physicians Network Inc
• Orlando Physicians Network Inc
• Orlando Physicians Network Inc
• Orlando Physicians Network Inc
• Orlando Physicians Network Inc

• Internal Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.