Organization Active NPI

Nandra Family Physicians LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1093788341
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85696 Issued in FL
Legal business name
NANDRA FAMILY PHYSICIANS LLC
Practice address
5840 W Colonial Dr
Orlando, FL 32808-7558
Phone
(407) 292-2200
Fax
(407) 292-8210
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Mrs. Harminder K Nandra
Title
Office Manager
Phone
(407) 921-2074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME85696 FL Primary

Addresses

Primary practice location

5840 W Colonial Dr
Orlando, FL 32808-7558

Mailing address

PO Box 952739
Lake Mary, FL 32795-2739
Phone (407) 921-2074

Other identifiers 1

IdentifierTypeStateIssuer
265823200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1093788341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952739",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327952739",
            "telephone_number": "407-921-2074",
            "fax_number": "321-363-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087558",
            "telephone_number": "407-292-2200",
            "fax_number": "407-292-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDRA FAMILY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "NANDRA",
        "authorized_official_first_name": "HARMINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-921-2074",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265823200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.