Midway Immunology and Research Center

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MIDWAY IMMUNOLOGY AND RESEARCH CENTER

Practice address

356 E Midway Rd
Fort Pierce, FL 34982-7148

Phone

(772) 464-9746

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Moti N Ramgopal, MD

Title

Ceo

Phone

(772) 464-9746

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1356580518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827148",
            "telephone_number": "772-464-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 E MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827148",
            "telephone_number": "772-464-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY IMMUNOLOGY AND RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "RAMGOPAL",
        "authorized_official_first_name": "MOTI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-464-9746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Michalski, LCSW
• Vicki N Michel, APRN
• Mid Florida Radiation Oncology Asso
• Mid Florida Radiation Oncology Asso
• Midway Dental Center of Ft Pierce LLC
• Midway Infectious Diseases, LLC
• Midway Primary Care LLC
• Midway Specialty Care Center Inc
• Midway Specialty Care RX LLC
• Midway Specialty Diagnostics LLC

• Infectious Disease Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.