FSF Orlando Mso, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

FSF ORLANDO MSO, LLC

Practice address

3361 Rouse Rd Ste 205
Orlando, FL 32817-2137

Phone

(407) 704-1150

Fax

(407) 286-6206

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Shana Simpson

Title

VP of Operations

Phone

(407) 704-1150

Specialties & licenses 1

Addresses

Other names 1

• FSF Orlando MSO, LLC Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1295488492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 ROUSE RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172137",
            "telephone_number": "407-704-1150",
            "fax_number": "407-286-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 ROUSE RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172137",
            "telephone_number": "407-704-1150",
            "fax_number": "407-286-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSF ORLANDO MSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "407-704-1150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Orlando",
            "affiliation": "N",
            "endpointDescription": "FSF Orlando MSO",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Orlando",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Orlando",
            "address_1": "3361 Rouse Rd Ste 205",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328172137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FSF Orlando MSO, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lourdes Fruto Montero
• Hannah Fry, PT, DPT
• Katherine Rose Fry
• Kenneth Lee Frye Jr., D.O.
• Sean Frye
• FST Behavioral
• Hailing Fu, O.M.D.
• Kai Fu, MD
• Jasmine Fuce
• Kelly Nicole Fuchs, LCSW

• Health Maintenance Organization in Orlando, FL
• Providers in Orlando, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.