Apopka Medical Group PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME0055219 Issued in FL

Legal business name

APOPKA MEDICAL GROUP PA

Doing business as

Apopka Medical Center

Practice address

125 S Park Ave
Apopka, FL 32703-4254

Phone

(407) 886-1171

Fax

(407) 886-8386

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ingrid Behner

Title

Office Manager

Phone

(407) 886-1171

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Apopka Medical Center Doing business as

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1316977259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327041107",
            "telephone_number": "407-886-1171",
            "fax_number": "407-886-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034254",
            "telephone_number": "407-886-1171",
            "fax_number": "407-886-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOPKA MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "BEHNER",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-886-1171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME0055219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037621300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apopka Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anibal David Aparicio Fonseca
• Apopka Assisted Living Facility Inc
• Apopka Behavioral Health, Inc.
• Apopka Family Medicine, Inc.
• Apopka Life Care Center
• Apopka Modern Dentistry LLC
• Apopka North SNF Operations LLC
• Apopka Opco LLC
• Apopka South SNF Operations LLC
• Apopka Wellness Center,Inc.

• Legal Medicine in Apopka, FL
• Providers in Apopka, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.