Active NPI
Mid Florida Adult Medicine LLC
- Internal Medicine Physician
- Longwood, FL
National Provider Identifier
1174832034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MID FLORIDA ADULT MEDICINE LLC
- Practice address
- 280 Wekiva Springs Rd
Suite 1000
Longwood, FL 32779-5946 - Phone
- (407) 788-2273
- Fax
- (407) 389-2273
- NPI assigned
- Sep 27, 2010
- 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
- Raul E Tamayo, MD
- Title
- Owner
- Phone
- (407) 788-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
280 Wekiva Springs Rd
Suite 1000
Longwood, FL 32779-5946
Mailing address
280 Wekiva Springs Rd
Suite 1000
Longwood, FL 32779-5946
Phone (407) 788-2273
National Provider Directory
National Provider DirectoryLocations
595 Oak Commons Blvd
Ste A1
Kissimmee, FL 34741
Phone (321) 550-1849
280 Wekiva Springs Rd
Ste 1000
Longwood, FL 32779
Phone (407) 788-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285545600000",
"number": "1174832034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 WEKIVA SPRINGS RD",
"address_2": "SUITE 1000",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327795946",
"telephone_number": "407-788-2273",
"fax_number": "407-389-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 WEKIVA SPRINGS RD",
"address_2": "SUITE 1000",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327795946",
"telephone_number": "407-788-2273",
"fax_number": "407-389-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID FLORIDA ADULT MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-27",
"last_updated": "2010-09-27",
"status": "A",
"authorized_official_last_name": "TAMAYO",
"authorized_official_first_name": "RAUL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-788-2273",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"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 Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.