NPIMap

Organization Active NPI

Complex Health Partners LLC

  • Family Medicine Physician
  • Apopka, FL
National Provider Identifier
1306689666
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPLEX HEALTH PARTNERS LLC
Practice address
1631 Rock Springs Rd Ste 367
Apopka, FL 32712-2229
Phone
(407) 650-2558
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Elizabeth Shirley, APRNNPI 1659904761
Title
Owner
Phone
(407) 650-2558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1631 Rock Springs Rd Ste 367
Apopka, FL 32712-2229

Mailing address

1631 Rock Springs Rd Ste 367
Apopka, FL 32712-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827000012 FL Part B Supplier - Clinic/Group Practice 4688113392 Receives reassigned benefits from 2 practitioners
Practice locations: Eustis, FL

National Provider Directory

National Provider Directory

Locations

1631 Rock Springs Rd
Apopka, FL 32712
Phone (407) 650-2558

2101 Prevatt St
Eustis, FL 32726
Phone (352) 589-4774

Practitioners & affiliated clinicians

Practitioners 8

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": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1306689666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ROCK SPRINGS RD STE 367",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ROCK SPRINGS RD STE 367",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122229",
            "telephone_number": "407-650-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-650-2558",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.