Park Ave Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PARK AVE MEDICAL GROUP

Doing business as

Park Ave Medical Group

Practice address

424 N Park Ave
Apopka, FL 32712-4152

Phone

(407) 886-0611

Fax

(407) 886-2817

NPI assigned

May 21, 2012

Last updated

May 21, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

APOPKA WELLNESS CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Adlai Steven Green, DCNPI 1760481063

Title

Boss

Phone

(407) 886-0611

Specialties & licenses 1

Addresses

Other names 1

• Park Ave Medical Group Doing business as

Part of

Apopka Wellness Centerinc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Apopka Wellness Center,Inc.

  • Chiropractor
  • Apopka, FL
  • NPI 1346420627
  NPPES parent name

Practitioners 1

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.

• Adlai Steven Green, DC

  • Chiropractor
  • Apopka, FL
  • NPI 1760481063
  Authorized official Same address or phone

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1326308719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124152",
            "telephone_number": "407-886-0611",
            "fax_number": "407-886-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124152",
            "telephone_number": "407-886-0611",
            "fax_number": "407-886-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APOPKA WELLNESS CENTER",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ADLAI",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "BOSS",
        "authorized_official_telephone_number": "407-886-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Ave Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Everett Palmer II, PA-C
• Theresa Palomeque, DDS
• Parmatma Parajuli, MD
• Debora A Pareja-Neyra, MD
• Trisha M Parisi, AP
• Park Avenue Ophthalmics, PLLC
• Park Trail Placellc (Dream Lake)
• Zarette Mechelle Parker, RNF
• Anjali K Parti, OTD, OTR/L
• Cristina Pascal Ricart, MD

• General Practice Physician in Apopka, FL
• Providers in Apopka, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.