Good Shepherd Primary Care, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0066465 Issued in FL

Legal business name

GOOD SHEPHERD PRIMARY CARE, P.A.

Practice address

1170 S Semoran Blvd
Suite D
Orlando, FL 32807-1458

Phone

(407) 282-4142

Fax

(407) 282-7475

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maribel Aviles, MDNPI 1093888554

Title

President

Phone

(407) 282-4142

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maribel Aviles, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1093888554
  NPD (past) Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1306048343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 S SEMORAN BLVD",
            "address_2": "SUITE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071458",
            "telephone_number": "407-282-4142",
            "fax_number": "407-282-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 S SEMORAN BLVD",
            "address_2": "SUITE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071458",
            "telephone_number": "407-282-4142",
            "fax_number": "407-282-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-282-4142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0066465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Care Home Health Services, LLC
• Good Care Rehab& Wellness Inc
• Good Care Rehab& Wellness Inc
• Good Health, Inc
• Good Ole Days Adult Living Facility LLC
• Good Shepherd Transportation LLC
• Gooden Homecare Services LLC
• Roberta Gooden, APRN
• Hannah Sinclaire Goodenow
• Garrett Goodin, RBT

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.