NPIMap

Organization Active NPI

Primary Care Physicians of Sanford LLC

  • Family Medicine Physician
  • Sanford, FL
National Provider Identifier
1083873897
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6401 Issued in FL
Legal business name
PRIMARY CARE PHYSICIANS OF SANFORD LLC
Practice address
309 W 1St St
Sanford, FL 32771-1205
Phone
(407) 324-5035
Fax
(407) 321-5266
NPI assigned
Jun 6, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Vincent Joseph Mamone, D.ONPI 1750310488
Title
President
Phone
(407) 324-5035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS6401 FL Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X OS6404 FL

Addresses

Primary practice location

309 W 1St St
Sanford, FL 32771-1205

Mailing address

309 W 1St St
Sanford, FL 32771-1205
Phone (407) 324-5035

National Provider Directory

National Provider Directory

Locations

309 W 1st St
Sanford, FL 32771
Phone (407) 324-5035

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1083873897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711205",
            "telephone_number": "407-324-5035",
            "fax_number": "407-321-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711205",
            "telephone_number": "407-324-5035",
            "fax_number": "407-321-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS OF SANFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MAMONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-324-5035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6401",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS6404",
            "primary": false
        }
    ],
    "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 Jun 16, 2008; 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.