Active NPI
Family Health Clinic USA LLC
- Family Medicine Physician
- Kissimmee, FL
National Provider Identifier
1376949032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ACN412
- Legal business name
- FAMILY HEALTH CLINIC USA LLC
- Practice address
- 323 W Oak St
Suite a
Kissimmee, FL 34741-4421 - Phone
- (407) 512-6608
- NPI assigned
- Nov 7, 2014
- 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
- Carlos A Ortiz, MD
- Title
- Medical Director
- Phone
- (407) 512-6608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ACN412 | FL | Primary |
Addresses
Primary practice location
323 W Oak St
Suite a
Kissimmee, FL 34741-4421
Mailing address
323 W Oak St
Suite a
Kissimmee, FL 34741-4421
Phone (407) 512-6608
National Provider Directory
National Provider DirectoryLocations
323 W Oak St
Ste A
Kissimmee, FL 34741
Phone (407) 468-3075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415318400000",
"number": "1376949032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 W OAK ST",
"address_2": "SUITE A",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414421",
"telephone_number": "407-512-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W OAK ST",
"address_2": "SUITE A",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414421",
"telephone_number": "407-512-6608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH CLINIC USA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-07",
"last_updated": "2014-11-07",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "407-512-6608",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ACN412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.