Active NPI
Altamonte Primary Care, Inc
- Family Medicine Physician
- Apopka, FL
National Provider Identifier
1083774178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME038388
- Legal business name
- ALTAMONTE PRIMARY CARE, INC
- Practice address
- 1706 E Semoran Blvd
Suite 115
Apopka, FL 32703-5651 - Phone
- (407) 889-0007
- Fax
- (407) 889-5557
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Rhea
- Title
- Office Manager
- Phone
- (407) 889-0007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME038388 | FL | Primary |
Addresses
Primary practice location
1706 E Semoran Blvd
Suite 115
Apopka, FL 32703-5651
Mailing address
1706 E Semoran Blvd
Apopka, FL 32703-5651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257631700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1706 E Semoran Blvd
Ste 115
Apopka, FL 32703
Phone (407) 889-0007
1706 E Semoran Blvd
Apopka, FL 32703
Phone (407) 267-7374
1101 E Colonial Dr
Orlando, FL 32803
Phone (407) 647-6000
221 S Knowles Ave
Winter Park, FL 32789
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Viera, FL
- NPI 1497726319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397433600000",
"number": "1083774178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 E SEMORAN BLVD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 E SEMORAN BLVD",
"address_2": "SUITE 115",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035651",
"telephone_number": "407-889-0007",
"fax_number": "407-889-5557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTAMONTE PRIMARY CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2014-04-14",
"status": "A",
"authorized_official_last_name": "RHEA",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "407-889-0007"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME038388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257631700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.