Organization Active NPI

Medwatch, LLC

  • Case Management Agency
  • Lake Mary, FL
National Provider Identifier
1083964050
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MEDWATCH, LLC
Practice address
120 International Pkwy
Suite 220
Lake Mary, FL 32746-5031
Phone
(407) 333-8166
Fax
(407) 333-8928
NPI assigned
Sep 17, 2012
Organization subpart
Yes
Parent organization
NMU, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Mrs. Jill Sims
Title
Chief Financial Officer
Phone
(407) 333-8166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

120 International Pkwy
Suite 220
Lake Mary, FL 32746-5031

Mailing address

120 International Pkwy
Suite 220
Lake Mary, FL 32746-5031
Phone (407) 333-8166

National Provider Directory

National Provider Directory

Locations

120 International Pkwy
Ste 220
Lake Mary, FL 32746
Phone (407) 333-8166

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1083964050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY",
            "address_2": "SUITE 220",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465031",
            "telephone_number": "407-333-8166",
            "fax_number": "407-333-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY",
            "address_2": "SUITE 220",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465031",
            "telephone_number": "407-333-8166",
            "fax_number": "407-333-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWATCH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMU, LLC",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "407-333-8166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.