Central Florida Injury & Rehabilitation, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL FLORIDA INJURY & REHABILITATION, INC

Practice address

940 Centre Cir
Suite 1018
Altamonte Springs, FL 32714-7604

Phone

(407) 788-7778

Fax

(407) 788-7770

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerold J Fadem Jr., M.D.NPI 1629046958

Title

Medical Director

Phone

(407) 788-7778

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Jerold J Fadem Jr., M.D.

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1629046958
  NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1205969094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRE CIR",
            "address_2": "SUITE 1018",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147604",
            "telephone_number": "407-788-7778",
            "fax_number": "407-788-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRE CIR",
            "address_2": "SUITE 1018",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147604",
            "telephone_number": "407-788-7778",
            "fax_number": "407-788-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA INJURY & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "FADEM",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-788-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Vein and Vascular Disease
• Center of Recovery & Exercise (Core)
• Centerwell Senior Primary Care (FL) Inc. (CenterWell Senior Primary Care of Altamonte)
• Central Family Medical, LLC.
• Central Florida Hospital Neurology LLC
• Central Florida Low Vision Rehabilitation Resource Center, LLC
• Central Florida Premier Eye Associates (Lake Eye Accosiates)
• Central Florida Psychological Services, PA
• Central Florida Rehabilitation Institute LLC
• Central Palm Beach Physicians & Urgent Care Inc (MCPB Orthopedics & Neurosurgery)

• Internal Medicine Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.