Doctor'S Associates of Orlando , LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L11000021999 Issued in FL

Legal business name

DOCTOR'S ASSOCIATES OF ORLANDO , LLC

Practice address

670 N Orlando Ave Ste 1012
Maitland, FL 32751-4465

Phone

(407) 790-7870

Fax

(407) 790-7872

NPI assigned

Feb 26, 2011

Organization subpart

No

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

Authorized official

Name

Prudent Marcelin, MDNPI 1013249549

Title

President

Phone

(954) 557-8701

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prudent Marcelin, MD

  • Family Medicine Physician
  • Maitland, FL
  • NPI 1013249549
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1093012049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE STE 1012",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514465",
            "telephone_number": "407-790-7870",
            "fax_number": "407-790-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE STE 1012",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514465",
            "telephone_number": "407-790-7870",
            "fax_number": "407-790-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S ASSOCIATES OF ORLANDO , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-26",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "MARCELIN",
        "authorized_official_first_name": "PRUDENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-557-8701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "L11000021999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Maitland, FL
• Providers in Maitland, 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 Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.