Orlando Physician Specialists LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME92559 Issued in FL

Legal business name

ORLANDO PHYSICIAN SPECIALISTS LLC

Practice address

2250 Bedford Rd
Orlando, FL 32803-1443

Phone

(407) 303-7869

NPI assigned

Sep 28, 2016

Organization subpart

No

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

Authorized official

Name

Charles Witten, MD

Title

Director

Phone

(407) 303-7869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1023567229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894678",
            "telephone_number": "407-332-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 BEDFORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031443",
            "telephone_number": "407-303-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PHYSICIAN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "WITTEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-303-7869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME92559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Pain and Rehab Center, Inc.
• Orlando Pain Management Center LLC
• Orlando Pediatric Psychiatry LLC
• Orlando Pharmacy Inc
• Orlando Physical Therapy
• Orlando Physician Specialists LLC
• Orlando Physician Specialists LLC
• Orlando Physician Specialists LLC
• Orlando Physician Specialists LLC
• Orlando Physician Specialists LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.