Active NPI
Williamson, Ferrara, Gallagher, Dejesus MD. PA
- Clinical Medical Laboratory
- Orlando, FL
National Provider Identifier
1376845123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 800025894
- Legal business name
- WILLIAMSON, FERRARA, GALLAGHER, DEJESUS MD. PA
- Practice address
- 308 Groveland St
Orlando, FL 32804-4019 - Phone
- (407) 648-9151
- Fax
- (407) 426-7269
- NPI assigned
- Nov 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas W Oakley
- Title
- Business Manager
- Phone
- (407) 648-9151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 800025894 | FL | Primary |
Addresses
Primary practice location
308 Groveland St
Orlando, FL 32804-4019
Mailing address
110 W Underwood St
Suite a
Orlando, FL 32806-1139
Phone (407) 648-9151
Other names 1
- Colon and Rectal Pathology Lab
National Provider Directory
National Provider DirectoryLocations
850001 P Box
Orlando, FL 32885
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648166400000",
"number": "1376845123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W UNDERWOOD ST",
"address_2": "SUITE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061139",
"telephone_number": "407-648-9151",
"fax_number": "407-426-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 GROVELAND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044019",
"telephone_number": "407-648-9151",
"fax_number": "407-426-7269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSON, FERRARA, GALLAGHER, DEJESUS MD. PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-30",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A",
"authorized_official_last_name": "OAKLEY",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "407-648-9151",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800025894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colon and Rectal Pathology Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.