Organization Active NPI

Essere Vero Medical Associates PA

  • Primary Care Clinic/Center
  • Clermont, FL
National Provider Identifier
1346651189
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
98015 Issued in FL
Legal business name
ESSERE VERO MEDICAL ASSOCIATES PA
Practice address
2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389
Phone
(352) 536-6002
Fax
(352) 536-6018
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
M Smith, MD
Title
Physician
Phone
(352) 536-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 98015 FL Primary

Addresses

Primary practice location

2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389

Mailing address

2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389
Phone (352) 536-6002

Other identifiers 1

IdentifierTypeStateIssuer
277908100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1346651189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 HARTWOOD MARSH RD",
            "address_2": "SUITE 9",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115389",
            "telephone_number": "352-536-6002",
            "fax_number": "352-536-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HARTWOOD MARSH RD",
            "address_2": "SUITE 9",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115389",
            "telephone_number": "352-536-6002",
            "fax_number": "352-536-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSERE VERO MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-536-6002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "98015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277908100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.