NPIMap

Organization Active NPI

Boys Town of Central Florida, Inc.

  • Counselor
  • Oviedo, FL
National Provider Identifier
1245348879
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BOYS TOWN OF CENTRAL FLORIDA, INC.
Practice address
975 Oklahoma St
Oviedo, FL 32765-9104
Phone
(407) 588-2170
Fax
(407) 588-2171
NPI assigned
Aug 25, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Greg Zbylut
Title
Executive Director
Phone
(407) 366-3667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X FL Primary

Addresses

Primary practice location

975 Oklahoma St
Oviedo, FL 32765-9104

Mailing address

975 Oklahoma St
Oviedo, FL 32765-9104
Phone (407) 588-2170

Other identifiers 1

IdentifierTypeStateIssuer
029959602MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Boys Town of Central Florida3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

975 Oklahoma St
Oviedo, FL 32765
Phone (407) 588-2170

7001 University Blvd
Winter Park, FL 32792
Phone (407) 476-5352

Practitioners & affiliated clinicians

Practitioners 7

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245348879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 OKLAHOMA ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659104",
            "telephone_number": "407-588-2170",
            "fax_number": "407-588-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 OKLAHOMA ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659104",
            "telephone_number": "407-588-2170",
            "fax_number": "407-588-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS TOWN OF CENTRAL FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZBYLUT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-366-3667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029959602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.