Underground Fitness 2, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

UNDERGROUND FITNESS 2, LLC

Practice address

1137 Lake Underhill Road
Suite 600
Orlando, FL 32825

Phone

(407) 463-6940

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Bergeron

Title

Managing Member

Phone

(407) 463-6940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1154664654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7811973",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328781973",
            "telephone_number": "407-463-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 LAKE UNDERHILL ROAD",
            "address_2": "SUITE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32825",
            "telephone_number": "407-463-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERGROUND FITNESS 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-463-6940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Elena Umana
• Imran Yusuf Umar, PHARMD
• Nuela U Umeh, APRN, PMHNP-BC
• Paul Uminski, RDN, LDN
• Unconditional Love 4 U
• Marc Patrick Underhill, M.D.
• Underwood Anesthesia Services Inc
• Anna Rae Underwood
• Carly Lynn Ungrady
• Tatiana Ungredda, PH.D.

• Nephrology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.