Organization Active NPI

Family Practice of Central FL, P.a.

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1346440617
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE OF CENTRAL FL, P.A.
Practice address
1349 S International Pkwy
Suite 1411
Lake Mary, FL 32746-1697
Phone
(407) 333-3360
Fax
(407) 333-2920
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Ayesha Ahmar, M.D.NPI 1215955000
Title
Owner
Phone
(407) 333-3360

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

1349 S International Pkwy
Suite 1411
Lake Mary, FL 32746-1697

Mailing address

1349 S International Pkwy
Suite 1411
Lake Mary, FL 32746-1697
Phone (407) 333-3360

National Provider Directory

National Provider Directory

Locations

225 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 330-4099

Practitioners & affiliated clinicians

Practitioners 1

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1346440617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1411",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461697",
            "telephone_number": "407-333-3360",
            "fax_number": "407-333-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1411",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461697",
            "telephone_number": "407-333-3360",
            "fax_number": "407-333-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF CENTRAL FL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "AHMAR",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-333-3360",
        "authorized_official_credential": "M.D."
    },
    "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 Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.