NPIMap

Organization Active NPI

Medicinal Life LLC

  • Acupuncturist
  • Orlando, FL
National Provider Identifier
1245522929
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2755 Issued in FL
Legal business name
MEDICINAL LIFE LLC
Practice address
5222 Andrus Ave
Suite D
Orlando, FL 32810-5456
Phone
(407) 412-6354
Fax
(407) 420-7066
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Robert Murphy, AP
Title
Manager
Phone
(407) 412-6354

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2755 FL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2879 FL
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2967 FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA36621 FL

Addresses

Primary practice location

5222 Andrus Ave
Suite D
Orlando, FL 32810-5456

Mailing address

5222 Andrus Ave
Suite D
Orlando, FL 32810-5456
Phone (407) 412-6354

National Provider Directory

National Provider Directory

Locations

5222 Andrus Ave
Ste D
Orlando, FL 32810
Phone (407) 412-6354

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1245522929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 ANDRUS AVE",
            "address_2": "SUITE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105456",
            "telephone_number": "407-412-6354",
            "fax_number": "407-420-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 ANDRUS AVE",
            "address_2": "SUITE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105456",
            "telephone_number": "407-412-6354",
            "fax_number": "407-420-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINAL LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-412-6354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2755",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2879",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2967",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA36621",
            "primary": false
        }
    ],
    "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 May 12, 2011; 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.