Mid-Florida OB GYN Hospitalist Physician Services L L C

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MID-FLORIDA OB GYN HOSPITALIST PHYSICIAN SERVICES L L C

Practice address

101 Avenue O NE
Winter Haven, FL 33881

Phone

(863) 293-1121

Fax

(863) 297-1867

NPI assigned

Jun 24, 2008

Organization subpart

Yes

Parent organization

MID-FLORIDA PHYSICIAN SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Dave Macdougall

Title

Cfo

Phone

(863) 293-1121

Specialties & licenses 1

Addresses

Part of

Mid-Florida Physician Services LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mid-Florida Physician Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Winter Haven, FL
  • NPI 1265608012
  NPPES parent name

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1245491091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-293-1121",
            "fax_number": "863-297-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVENUE O NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-293-1121",
            "fax_number": "863-297-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA OB GYN HOSPITALIST PHYSICIAN SERVICES L L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-FLORIDA PHYSICIAN SERVICES, LLC",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "MACDOUGALL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-293-1121"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael'S Loving Care LLC
• Mid - Florida OB / GYN Hospitalist Physician Services LLC
• Mid Florida Cardiovascular Center, LLC
• Mid-Florida Critical Care Physician Services L L C
• Mid-Florida Interventional Cardiology Physician Services LLC
• Mid-Florida Oncology Physician Services LLC
• Mid-Florida Physician Services LLC
• Mid-Florida Urology Physician Services LLC
• Midflorida Internal Medicine Associates, PA
• Vontrise Mike

• Obstetrics & Gynecology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.