Central Parc Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRAL PARC WELLNESS

Practice address

920 International Pkwy
Suite # 1056
Lake Mary, FL 32746-5219

Phone

(407) 915-5300

Fax

(407) 915-6334

NPI assigned

Aug 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lane R Phillips, D.O.NPI 1659374122

Title

Physician

Phone

(407) 804-9494

Specialties & licenses 1

Addresses

Locations

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.

• Lane R Phillips, D.O.

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1659374122
  Authorized official Same address or phone

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1245616192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 INTERNATIONAL PKWY",
            "address_2": "SUITE # 1056",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465219",
            "telephone_number": "407-915-5300",
            "fax_number": "407-915-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 INTERNATIONAL PKWY",
            "address_2": "SUITE # 1056",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465219",
            "telephone_number": "407-915-5300",
            "fax_number": "407-915-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-804-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Medical Staffing, Inc (Right at Home)
• Central Florida Rheumatology Consultants LLC
• Central Florida Spine Joint and Muscle Center
• Central Florida Urology Associates
• Central Florida Wellness LLC
• Annissa Cerget
• Certmedicals Walk in Clinic and Wound Care PLLC
• Balinder S Chahal, M.D.
• J'Mia Alisha Challenger
• Meghan Chamberlain, DPT

• Family Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.