Organization Active NPI

Mid Florida Adult Medicine LLC

  • Internal Medicine Physician
  • Longwood, FL
National Provider Identifier
1174832034
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Sep 27, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.