Organization Active NPI

Rma of South Orlando LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1235406885
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RMA OF SOUTH ORLANDO LLC
Practice address
4151 Hunters Park LN
Suite 132
Orlando, FL 32837-3617
Phone
(407) 251-4486
Fax
(407) 251-9386
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Jeffrey Dudley
Title
Coo
Phone
(954) 318-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4151 Hunters Park LN
Suite 132
Orlando, FL 32837-3617

Mailing address

4151 Hunters Park LN
Suite 132
Orlando, FL 32837-3617
Phone (407) 251-4486

National Provider Directory

National Provider Directory

Locations

4151 Hunters Park Ln
Ste 132
Orlando, FL 32837
Phone (407) 251-4486

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1235406885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 HUNTERS PARK LN",
            "address_2": "SUITE 132",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373617",
            "telephone_number": "407-251-4486",
            "fax_number": "407-251-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 HUNTERS PARK LN",
            "address_2": "SUITE 132",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373617",
            "telephone_number": "407-251-4486",
            "fax_number": "407-251-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMA OF SOUTH ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-318-6590"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Jan 3, 2014; 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.