Florida Cath Lab LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FLORIDA CATH LAB LLC

Practice address

483 N Semoran Blvd
Suite 105
Winter Park, FL 32792-3803

Phone

(407) 340-0137

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By 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

Ms. Patti Jo Lawrence

Title

Manager

Phone

(407) 340-0137

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275670150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "SUITE 105",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923803",
            "telephone_number": "407-340-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "SUITE 105",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923803",
            "telephone_number": "407-340-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CATH LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-340-0137",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.