NPIMap

Organization Active NPI

Pulmonary Care of Central Florida

  • Specialist
  • Winter Park, FL
National Provider Identifier
1184632358
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 0048718 Issued in FL
Legal business name
PULMONARY CARE OF CENTRAL FLORIDA
Practice address
1110 N Kentucky Ave
Winter Park, FL 32789-4741
Phone
(407) 539-2766
Fax
(407) 539-2786
NPI assigned
Aug 4, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Maryann Simmons
Title
Administrator
Phone
(407) 539-2766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 0048718 FL Primary

Addresses

Primary practice location

1110 N Kentucky Ave
Winter Park, FL 32789-4741

Mailing address

1110 N Kentucky Ave
Winter Park, FL 32789-4741
Phone (407) 539-2766

Other identifiers 1

IdentifierTypeStateIssuer
044242900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1110 N Kentucky Ave
Winter Park, FL 32789
Phone (407) 539-2766

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1184632358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N KENTUCKY AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894741",
            "telephone_number": "407-539-2766",
            "fax_number": "407-539-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N KENTUCKY AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894741",
            "telephone_number": "407-539-2766",
            "fax_number": "407-539-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CARE OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-539-2766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 0048718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044242900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.