Active NPI
P3 Medical, Inc.
- Licensed Practical Nurse
- Sanford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN680621
- Legal business name
- P3 MEDICAL, INC.
- Practice address
- 2505 Northumbria Dr
Sanford, FL 32771-6494 - Phone
- (407) 361-7565
- Fax
- (855) 552-3776
- NPI assigned
- May 12, 2015
- Last updated
- May 12, 2015
- 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
- Patty Polley, LPN
- Title
- President
- Phone
- (407) 361-7565
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN680621 | FL | Primary |
Addresses
Primary practice location
2505 Northumbria Dr
Sanford, FL 32771-6494
Mailing address
2505 Northumbria Dr
Sanford, FL 32771-6494
Phone (407) 361-7565
Other names 1
- P-3 Medical, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- P-3 Medical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Lake Mary, FL
- NPI 1912743659
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Licensed Practical Nurse
- Mount Dora, FL
- NPI 1184856262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431388800000",
"number": "1093193906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 NORTHUMBRIA DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716494",
"telephone_number": "407-361-7565",
"fax_number": "855-552-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 NORTHUMBRIA DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716494",
"telephone_number": "407-361-7565",
"fax_number": "855-552-3776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P3 MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-12",
"last_updated": "2015-05-12",
"status": "A",
"authorized_official_last_name": "POLLEY",
"authorized_official_first_name": "PATTY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-361-7565",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN680621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "P-3 Medical, Inc.",
"code": "5",
"type": "Other Name"
}
]
}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 May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.