Family Physician Group

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

ME#91019 Issued in FL

Legal business name

FAMILY PHYSICIAN GROUP

Practice address

6320 Old Winter Garden Rd
Orlando, FL 32835-1381

Phone

(407) 822-4350

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Vijayalakshmi Polavarapu, M.D.

Title

Hospitalist

Phone

(407) 281-1755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184701740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 S KIRKMAN RD",
            "address_2": "APT #1223",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111943",
            "telephone_number": "407-822-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 OLD WINTER GARDEN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328351381",
            "telephone_number": "407-822-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLAVARAPU",
        "authorized_official_first_name": "VIJAYALAKSHMI",
        "authorized_official_title_or_position": "HOSPITALIST",
        "authorized_official_telephone_number": "407-281-1755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ME#91019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medicine of Bay Hill Inc
• Family Medicine of Orlando PLLC
• Family Medicine of Orlando PLLC
• Family Medicine of Orlando PLLC
• Family Medicine Specialists PA
• Family Physicians of Winter Park
• Family Physicians RX Inc
• Family Podiatry of Central Florida PA
• Family Practice and Rehab, Inc
• Family Psychology of Orlando

• General Acute Care Hospital in Orlando, FL
• Providers in Orlando, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.