Organization Active NPI

Gregory P Samano II DO PA

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1043414915
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7764 Issued in FL
Legal business name
GREGORY P SAMANO II DO PA
Practice address
499 E Central Pkwy Ste 100
Altamonte Springs, FL 32701-3449
Phone
(407) 543-3461
Fax
(407) 678-0627
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Gregory P Samano II, DO
Title
President
Phone
(407) 543-3461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS7764 FL Primary

Addresses

Primary practice location

499 E Central Pkwy Ste 100
Altamonte Springs, FL 32701-3449

Mailing address

499 E Central Pkwy Ste 100
Altamonte Springs, FL 32701-3449
Phone (407) 543-3461

Other practice location 1

2830 Casa Aloma Way
Winter Park, FL 32792-2272
Phone (407) 678-5554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1043414915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY STE 100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013449",
            "telephone_number": "407-543-3461",
            "fax_number": "407-678-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY STE 100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013449",
            "telephone_number": "407-543-3461",
            "fax_number": "407-678-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Casa Aloma Way",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327922272",
            "country_code": "US",
            "telephone_number": "407-678-5554",
            "fax_number": "407-678-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREGORY P SAMANO II DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "SAMANO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-543-3461",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

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