Active NPI
Central Florida Medical Center Inc
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1174763882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME91130
- Legal business name
- CENTRAL FLORIDA MEDICAL CENTER INC
- Practice address
- 925 Sand Lake Rd
Orlando, FL 32809-7711 - Phone
- (407) 851-5121
- NPI assigned
- Feb 20, 2009
- Last updated
- Feb 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bhaskar Raju, M.D.,
- Title
- President
- Phone
- (407) 694-2875
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME91130 | FL | Primary |
Addresses
Primary practice location
925 Sand Lake Rd
Orlando, FL 32809-7711
Mailing address
PO Box 590086
Orlando, FL 32859-0086
National Provider Directory
National Provider DirectoryLocations
925 Sand Lake Rd
Orlando, FL 32809
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAEHCA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Child & Adolescent Psychiatry Physician
- Orlando, FL
- NPI 1558397620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235088000000",
"number": "1174763882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 590086",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328590086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 SAND LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097711",
"telephone_number": "407-851-5121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A",
"authorized_official_last_name": "RAJU",
"authorized_official_first_name": "BHASKAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-694-2875",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME91130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Central Florida Kidney Centers Inc
- Central Florida Kidney Centers Inc
- Central Florida Kidney Centers Inc (Central Florida Kidney Center - East Orlando)
- Central Florida Kidney Specialists Inc
- Central Florida Medical & Chiropractic Center
- Central Florida Mental Health Services LLC
- Central Florida Nephrology PLLC
- Central Florida Optical, LLC
- Central Florida Oral & Maxillofacial Surgery
- Central Florida Orthopaedic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.