NPIMap

Organization Active NPI

Florida Hospital Physician Group Inc

  • Urology Physician
  • Lake Wales, FL
National Provider Identifier
1215670898
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FLORIDA HOSPITAL PHYSICIAN GROUP INC
Practice address
425 S 11TH St
Lake Wales, FL 33853-4239
Phone
(863) 679-2707
Fax
(863) 676-3621
NPI assigned
Apr 20, 2022
Organization subpart
Yes
Parent organization
FLORIDA HOSPITAL PHYSICIAN GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
James C Presswood
Title
Cfo
Phone
(386) 615-4237

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

425 S 11TH St
Lake Wales, FL 33853-4239

Mailing address

900 Hope Way
Adventhealth Managed Care
Altamonte Springs, FL 32714-1502
Phone (407) 357-1874

National Provider Directory

National Provider Directory
Tax ID family
Florida Hospital Phys Group6 organizations share this tax ID, including this one
Part of
Florida Hospital Phys Group

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1215670898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOPE WAY",
            "address_2": "ADVENTHEALTH MANAGED CARE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141502",
            "telephone_number": "407-357-1874",
            "fax_number": "407-357-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534239",
            "telephone_number": "863-679-2707",
            "fax_number": "863-676-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOSPITAL PHYSICIAN GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA HOSPITAL PHYSICIAN GROUP INC",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "PRESSWOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "386-615-4237"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.