NPIMap

Organization Active NPI

Valora Medical Center of Florida LLC

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1316705650
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALORA MEDICAL CENTER OF FLORIDA LLC
Practice address
819 E Oak St Ste a
Kissimmee, FL 34744-5842
Phone
(844) 825-6724
NPI assigned
Mar 11, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Mrs. Patricia Pichardo
Title
Coo
Phone
(407) 460-1292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

819 E Oak St Ste a
Kissimmee, FL 34744-5842

Mailing address

5601 Executive Dr Ste 200
Irving, TX 75038-2508
Phone (844) 825-6724

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510001347 FL Part B Supplier - Clinic/Group Practice 7113368911 Receives reassigned benefits from 11 practitioners
Practice locations: Winter Park, FL

National Provider Directory

National Provider Directory

Locations

7151 University Blvd
Unit 100
Winter Park, FL 32792
Phone (321) 275-7500

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1316705650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 EXECUTIVE DR STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382508",
            "telephone_number": "844-825-6724",
            "fax_number": "972-637-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E OAK ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445842",
            "telephone_number": "844-825-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALORA MEDICAL CENTER OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "407-460-1292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.