Organization Active NPI

Family Medicine of Orlando PLLC

  • Non-Pharmacy Dispensing Site
  • Orlando, FL
National Provider Identifier
1225399348
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FAMILY MEDICINE OF ORLANDO PLLC
Practice address
5979 Vineland Rd
Suite 111
Orlando, FL 32819-7800
Phone
(407) 802-3233
NPI assigned
Jun 5, 2012
Organization subpart
Yes
Parent organization
FAMILY MEDICINE OF ORLANDO PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Dr. Daniel R.S.a. Hay, DONPI 1578514683
Title
President
Phone
(407) 802-3233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

5979 Vineland Rd
Suite 111
Orlando, FL 32819-7800

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Family Medicine of Orlando PLLC3 organizations share this tax ID, including this one
Part of
Family Medicine of Orlando PLLC

Other organizations with this tax ID 2

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

Locations

5979 Vineland Rd
Ste 111
Orlando, FL 32819
Phone (407) 492-2338

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1225399348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD",
            "address_2": "SUITE 111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197800",
            "telephone_number": "407-802-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF ORLANDO PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY MEDICINE OF ORLANDO PLLC",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.S.A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-802-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.