Organization Active NPI

Vance J Maloney III MD PA

  • Primary Care Clinic/Center
  • Longwood, FL
National Provider Identifier
1144402199
Registry record updated Nov 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
24866 Issued in FL
Legal business name
VANCE J MALONEY III MD PA
Practice address
1315 Hickory Dr
Longwood, FL 32779-5844
Phone
(407) 701-0012
NPI assigned
Dec 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2013

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

Authorized official

Name
Vance J Maloney III, MD
Title
Owner
Phone
(407) 701-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 24866 FL Primary

Addresses

Primary practice location

1315 Hickory Dr
Longwood, FL 32779-5844

Mailing address

1315 Hickory Dr
Longwood, FL 32779-5844
Phone (407) 701-0012

National Provider Directory

National Provider Directory

Locations

650 N Wymore Rd
Ste 103
Winter Park, FL 32789
Phone (407) 647-7176

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384560000000",
    "number": "1144402199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 HICKORY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795844",
            "telephone_number": "407-701-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 HICKORY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795844",
            "telephone_number": "407-701-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE J MALONEY III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2013-11-16",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-701-0012",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "24866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; 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.