Associated Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ASSOCIATED FAMILY MEDICINE, PA

Practice address

320 W Sabal Palm PL
Suite 200
Longwood, FL 32779-3639

Phone

(407) 788-6399

Fax

(407) 788-0404

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Suree Vyas

Title

Administrator

Phone

(407) 830-1975

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1194772327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W SABAL PALM PL",
            "address_2": "SUITE 300",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793639",
            "telephone_number": "407-260-1137",
            "fax_number": "407-332-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W SABAL PALM PL",
            "address_2": "SUITE 200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793639",
            "telephone_number": "407-788-6399",
            "fax_number": "407-788-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "SUREE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-830-1975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.