Organization Active NPI

MD Associates of Central Florida, P.a.

  • Specialist
  • Fruitland Park, FL
National Provider Identifier
1164759940
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MD ASSOCIATES OF CENTRAL FLORIDA, P.A.
Practice address
297 Magnolia Dr
Fruitland Park, FL 34731-6750
Phone
(352) 787-1991
Fax
(352) 728-3347
NPI assigned
Nov 16, 2009
Last updated
Nov 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. Fariborz Delbakhsh, M.D.
Title
President
Phone
(407) 217-2688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

297 Magnolia Dr
Fruitland Park, FL 34731-6750

Mailing address

PO Box 895532
Leesburg, FL 34789-5532
Phone (352) 787-1991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1164759940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895532",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347895532",
            "telephone_number": "352-787-1991",
            "fax_number": "352-728-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 MAGNOLIA DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347316750",
            "telephone_number": "352-787-1991",
            "fax_number": "352-728-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ASSOCIATES OF CENTRAL FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "DELBAKHSH",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-217-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

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