Nichi Enterprises Inc

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME108175 Issued in FL

Legal business name

NICHI ENTERPRISES INC

Doing business as

Central Florida Personal Injury & Sports Medicine

Practice address

1151 Blackwood Ave
Suite 170
Ocoee, FL 34761-4550

Phone

(407) 347-8339

Fax

(407) 347-8394

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Syed Hadi Shah, MD

Title

President

Phone

(407) 347-8339

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Florida Personal Injury & Sports Medicine Doing business as

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1205125069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BLACKWOOD AVE",
            "address_2": "SUITE 170",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614550",
            "telephone_number": "407-347-8339",
            "fax_number": "407-347-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BLACKWOOD AVE",
            "address_2": "SUITE 170",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614550",
            "telephone_number": "407-347-8339",
            "fax_number": "407-347-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHI ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "HADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-347-8339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME108175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003696100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Personal Injury & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David M Nguyen
• Kim - Uyen T. Nguyen
• Sam Nguyen
• Thien Nguyen, PHARMD
• Trista Trinh Nguyen
• Tammy Virginia Nieves, MA, CCC-SLP
• Jonathan M Nitisusanta, DDS
• Nadine Nitisusanta, DMD
• No Limits Housing Solutions, LLC (No Limits Affordable Home Care Solutions, LLC)
• Kamaya Marie Nombre

• Sports Medicine (Family Medicine) Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.