NPIMap

Organization Active NPI

Ivf Laboratory of Central Florida, LLC

  • Clinical Medical Laboratory
  • Winter Park, FL
National Provider Identifier
1295279685
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
ME78893 Issued in FL
Legal business name
IVF LABORATORY OF CENTRAL FLORIDA, LLC
Practice address
5901 Brick CT
Winter Park, FL 32792-9392
Phone
(407) 672-1106
Fax
(407) 678-2790
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Dr. Mark P. Trolice, M.D.
Title
Director
Phone
(407) 672-1106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X ME78893 FL Primary

Addresses

Primary practice location

5901 Brick CT
Winter Park, FL 32792-9392

Mailing address

5901 Brick CT
Winter Park, FL 32792-9392
Phone (407) 672-1106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1295279685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BRICK CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929392",
            "telephone_number": "407-672-1106",
            "fax_number": "407-678-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BRICK CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929392",
            "telephone_number": "407-672-1106",
            "fax_number": "407-678-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVF LABORATORY OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "TROLICE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-672-1106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME78893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.