Organization Active NPI

Cosmopolitan Center, Inc.

  • Health Maintenance Organization
  • Sanford, FL
National Provider Identifier
1053594523
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
COSMOPOLITAN CENTER, INC.
Practice address
259 Petunia Ter Apt 113
Sanford, FL 32771-6553
Phone
(407) 321-3123
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Mrs. Nattacha Phara Wyllie
Title
Ceo
Phone
(407) 321-3123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

259 Petunia Ter Apt 113
Sanford, FL 32771-6553

Mailing address

259 Petunia Ter Apt 113
Sanford, FL 32771-6553
Phone (407) 321-3123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1053594523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 PETUNIA TER APT 113",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716553",
            "telephone_number": "407-321-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 PETUNIA TER APT 113",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716553",
            "telephone_number": "407-321-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "WYLLIE",
        "authorized_official_first_name": "NATTACHA",
        "authorized_official_middle_name": "PHARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-321-3123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.