Central Florida Associated Primary Care Physicians, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRAL FLORIDA ASSOCIATED PRIMARY CARE PHYSICIANS, PA

Doing business as

Hawk & Puglia Family Practice Physicians

Practice address

101 S 11TH St
Suite 4
Leesburg, FL 34748-5767

Phone

(352) 787-8301

Fax

(352) 787-6091

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Glennajo Courtney

Title

Office Manager

Phone

(352) 787-8301

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hawk & Puglia Family Practice Physicians Doing business as

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073521803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 11TH ST",
            "address_2": "SUITE 4",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485767",
            "telephone_number": "352-787-8301",
            "fax_number": "352-787-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 11TH ST",
            "address_2": "SUITE 4",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485767",
            "telephone_number": "352-787-8301",
            "fax_number": "352-787-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA ASSOCIATED PRIMARY CARE PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "GLENNAJO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-787-8301",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34152",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ8048",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawk & Puglia Family Practice Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.