Organization Active NPI

Ordonez & Dolar Medical Group LLC

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1245414523
Registry record updated Dec 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0050580 Issued in FL
Legal business name
ORDONEZ & DOLAR MEDICAL GROUP LLC
Practice address
1109 Harrison Ave
Panama City, FL 32401-2430
Phone
(850) 215-0821
Fax
(850) 215-1904
NPI assigned
Dec 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2007

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

Authorized official

Name
Dr. Luzviminda Benato Ordonez Dolar, M.D.
Title
President
Phone
(850) 215-0281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0050580 FL Primary

Addresses

Primary practice location

1109 Harrison Ave
Panama City, FL 32401-2430

Mailing address

1109 Harrison Ave
Panama City, FL 32401-2430
Phone (850) 215-0821

National Provider Directory

National Provider Directory

Locations

1109 Harrison Ave
Panama City, FL 32401
Phone (850) 215-0821

NPI Registry JSON

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

{
    "created_epoch": "1198281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198281600000",
    "number": "1245414523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012430",
            "telephone_number": "850-215-0821",
            "fax_number": "850-215-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012430",
            "telephone_number": "850-215-0821",
            "fax_number": "850-215-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORDONEZ & DOLAR MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-22",
        "last_updated": "2007-12-22",
        "status": "A",
        "authorized_official_last_name": "ORDONEZ DOLAR",
        "authorized_official_first_name": "LUZVIMINDA",
        "authorized_official_middle_name": "BENATO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-215-0281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0050580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2007; 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.