Organization Active NPI

Medical Associates of Central Florida

  • Family Nurse Practitioner
  • Haines City, FL
National Provider Identifier
1235432543
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2832442 Issued in FL
Legal business name
MEDICAL ASSOCIATES OF CENTRAL FLORIDA
Practice address
31810 Hwy 27
Haines City, FL 33844-7617
Phone
(863) 439-9775
Fax
(863) 439-0066
NPI assigned
Dec 8, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Dr. Mahesh Gandi Allam, M.D.NPI 1124188180
Title
President
Phone
(863) 439-9775

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
Family Nurse Practitioner 363LF0000X ARNP2832442 FL Primary

Addresses

Primary practice location

31810 Hwy 27
Haines City, FL 33844-7617

Mailing address

31810 Hwy 27
Haines City, FL 33844-7617
Phone (863) 439-9775

National Provider Directory

National Provider Directory
Tax ID family
Medical Assoc of Centra2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1235432543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31810 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447617",
            "telephone_number": "863-439-9775",
            "fax_number": "863-439-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31810 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447617",
            "telephone_number": "863-439-9775",
            "fax_number": "863-439-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "ALLAM",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "GANDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-439-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2832442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.