Medicenter of Orlando

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDICENTER OF ORLANDO

Practice address

206 West Oak Street Suite C
Kissimmee, FL 34741

Phone

(407) 847-9006

Fax

(407) 847-2985

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mazhar G Nawaz, MD

Title

President

Phone

(407) 847-9006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295897544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WEST OAK STREET SUITE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-847-9006",
            "fax_number": "407-847-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WEST OAK STREET SUITE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-847-9006",
            "fax_number": "407-847-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICENTER OF ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAWAZ",
        "authorized_official_first_name": "MAZHAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-847-9006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Matilde Medina Castro
• Mayriluz Del Valle Medina Graterol
• Richard Medina Perez, MD
• Laisy Medina Rodriguez
• Eduardo Jose Medina Torres

• Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• 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.