Organization Active NPI

Physicians Alliance Corp of Brevard

  • Internal Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1134396393
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIANS ALLIANCE CORP OF BREVARD
Practice address
220 N Westmonte Dr
Suite B
Altamonte Springs, FL 32714-3310
Phone
(407) 862-4500
Fax
(407) 862-4500
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Vraj Panara, MD
Title
President
Phone
(407) 862-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

220 N Westmonte Dr
Suite B
Altamonte Springs, FL 32714-3310

Mailing address

220 N Westmonte Dr
Suite B
Altamonte Springs, FL 32714-3310
Phone (407) 862-4500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1134396393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N WESTMONTE DR",
            "address_2": "SUITE B",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143310",
            "telephone_number": "407-862-4500",
            "fax_number": "407-862-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N WESTMONTE DR",
            "address_2": "SUITE B",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143310",
            "telephone_number": "407-862-4500",
            "fax_number": "407-862-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS ALLIANCE CORP OF BREVARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "PANARA",
        "authorized_official_first_name": "VRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-862-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.