Active NPI
The Institute of Diabetic Neuropathy
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1205189503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE INSTITUTE OF DIABETIC NEUROPATHY
- Practice address
- 4937 E Colonial Dr
Orlando, FL 32803-4309 - Phone
- (404) 406-4621
- NPI assigned
- Oct 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Buitrago
- Title
- Administrator
- Phone
- (954) 559-6062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4937 E Colonial Dr
Orlando, FL 32803-4309
Mailing address
PO Box 570573
Orlando, FL 32857-0573
National Provider Directory
National Provider DirectoryLocations
4937 E Colonial Dr
Orlando, FL 32803
Phone (404) 406-4621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351036800000",
"number": "1205189503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570573",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328570573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4937 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034309",
"telephone_number": "404-406-4621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE INSTITUTE OF DIABETIC NEUROPATHY",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A",
"authorized_official_last_name": "BUITRAGO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-559-6062"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- The Hope House of Love Inc
- The House of Gladness, LLC
- The Howard Phillips Center for Children & Families
- The Hug-Me Program @ Orhs
- The I.V. Medics, LLC
- The Institute of Rheumatology and Lifestyle Medicine
- The Islands Alf, Inc.
- The Islands Alf, Inc.
- The Joshua Group LLC
- The Kelly Behavioral Institute LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.