Organization Active NPI

Mid Florida Infectious Diseases MD LLC

  • Infectious Disease Physician
  • Maitland, FL
National Provider Identifier
1265952246
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
MID FLORIDA INFECTIOUS DISEASES MD LLC
Practice address
1239 E Lake Colony Dr
Maitland, FL 32751-6129
Phone
(407) 629-9400
NPI assigned
Jun 21, 2017
Last updated
Jun 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Laura Sahyoun
Title
Provider Advocate
Phone
(407) 788-1906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X Primary

Addresses

Primary practice location

1239 E Lake Colony Dr
Maitland, FL 32751-6129

Mailing address

PO Box 941359
Maitland, FL 32794-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171207001002 FL Part B Supplier - Clinic/Group Practice 4981961570 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Springs, FL; Winter Park, FL; Winter Garden, FL; Orlando, FL; Clermont, FL; Apopka, FL; Maitland, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1265952246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941359",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327941359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 E LAKE COLONY DR",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516129",
            "telephone_number": "407-629-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA INFECTIOUS DISEASES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "SAHYOUN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PROVIDER ADVOCATE",
        "authorized_official_telephone_number": "407-788-1906"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.