Orlando Center for Advanced Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ORLANDO CENTER FOR ADVANCED PLASTIC SURGERY, LLC

Practice address

4106 W Lake Mary Blvd Ste 212
Lake Mary, FL 32746-3344

Phone

(407) 333-2525

Fax

(407) 333-9583

NPI assigned

Aug 8, 2017

Last updated

Apr 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edgar Sosa, DONPI 1699938472

Title

Director

Phone

(407) 333-2525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Edgar Sosa, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Vero Beach, FL
  • NPI 1699938472
  Medicare reassignment Authorized official
• Dean Livingston Johnston, M.D.

  • Specialist
  • Lake Mary, FL
  • NPI 1598772154
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619222400000",
    "number": "1255856589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD STE 212",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463344",
            "telephone_number": "407-333-2525",
            "fax_number": "407-333-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD STE 212",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463344",
            "telephone_number": "407-333-2525",
            "fax_number": "407-333-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO CENTER FOR ADVANCED PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2021-04-24",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-333-2525",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Onaindia, MS, RD, LD/N
• Anthonia Onalaja
• Judepatricks M Onyema, MD
• Opa Physician Partners, PLLC
• Optimum Rehab, Inc.
• Orlando Foot and Ankle Clinic, Inc (Orlando Foot & Ankle Clinic)
• Orlando Health Inc (Orlando Health Orlando Regional Medical Center)
• Orlando Health Inc. (Scripts Pharmacy)
• Orlando Health Physician Partners Inc
• Orlando North Eye Clinic, LLC

• Plastic Surgery Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.