Neoteric Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEOTERIC MEDICAL LLC

Practice address

407 Wekiva Springs Rd
Longwood, FL 32779-6201

Phone

(407) 564-1440

Fax

(321) 244-0619

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Patricio Bruno, DO

Title

Owner

Phone

(321) 890-7395

Specialties & licenses 1

Addresses

Other names 1

• Neoteric Medical LLC Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannine L Parikh, MD

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1790715217
  NPD
• Adrain Yvette Lee, NP

  • Family Nurse Practitioner
  • Ocoee, FL
  • NPI 1477906782
  NPD (past)
• Ines Taylor, ARNP/FNP

  • Family Nurse Practitioner
  • Wasilla, AK
  • NPI 1457720930

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1205484110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WEKIVA SPRINGS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796201",
            "telephone_number": "407-564-1440",
            "fax_number": "321-244-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WEKIVA SPRINGS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796201",
            "telephone_number": "407-564-1440",
            "fax_number": "321-244-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOTERIC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-890-7395",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neoteric Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neighbormd of Longwood LLC
• Jason Nelms, BEHAVIOR TECHNICIAN
• Savannah Nelson
• Stephanie Nicole Nemeth, PTA
• Nemours Children'S Health, Longwood, Primary Care
• Nephrology Associates of Central Florida, P.a.
• Susan Nesper
• Sara Margaret Neuman, RBT
• Susan Mara Neuringer, COTA
• New Beginnings Christian Counseling Services, Inc.

• 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 Sep 4, 2019; 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.