Active NPI
Orlando Physician Specialists LLC
- Urology Physician
- Altamonte Springs, FL
National Provider Identifier
1225307143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ORLANDO PHYSICIAN SPECIALISTS LLC
- Practice address
- 106 Boston Ave
Suite 103
Altamonte Springs, FL 32701-4731 - Phone
- (407) 830-4777
- Fax
- (407) 830-4762
- NPI assigned
- Dec 21, 2011
- 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
- Shyam B Paryani, MD
- Title
- Director
- Phone
- (904) 309-8680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
106 Boston Ave
Suite 103
Altamonte Springs, FL 32701-4731
Mailing address
PO Box 19634
Jacksonville, FL 32245-9634
Phone (904) 309-8680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0027J | Other | FL | BCBS |
Other names 1
- Center for Urology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2053262 | Center for Urology | Certificate of waiver | Jan 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
106 Boston Ave
Ste 103
Altamonte Springs, FL 32701
Phone (407) 830-4777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343692800000",
"number": "1225307143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19634",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322459634",
"telephone_number": "904-309-8680",
"fax_number": "904-345-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BOSTON AVE",
"address_2": "SUITE 103",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014731",
"telephone_number": "407-830-4777",
"fax_number": "407-830-4762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO PHYSICIAN SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-21",
"last_updated": "2012-07-31",
"status": "A",
"authorized_official_last_name": "PARYANI",
"authorized_official_first_name": "SHYAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "904-309-8680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0027J",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Urology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altamonte Springs, FL
- Orlando Health Medical Group Inc
- Orlando Heart & Vascular Institute LLC
- Orlando Heart Specialists, P.a.
- Orlando Pain and Medical Rehabilitation Center Aso
- Orlando Pain Management LLC
- Orlando Physicians Network Inc
- Orlando Rehabilitation Hospital, LLC
- Miriam Ruth Ormsby, MSW
- Andres Felipe Orozco
- Noelle Elisabeth Orr, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.