Organization Active NPI

Central Florida Infectious Disease Consultants Inc

  • Infectious Disease Physician
  • St Cloud, FL
National Provider Identifier
1386055952
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME109470 Issued in FL
Legal business name
CENTRAL FLORIDA INFECTIOUS DISEASE CONSULTANTS INC
Practice address
1600 Budlinger Ave # a
St Cloud, FL 34769
Phone
(606) 416-2476
Fax
(571) 323-6777
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Muhammad Javid Bhutta
Title
M.D.
Phone
(606) 416-2476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME109470 FL Primary

Addresses

Primary practice location

1600 Budlinger Ave # a
St Cloud, FL 34769

Mailing address

10301 Emerald Woods Ave
Orlando, FL 32836-5936
Phone (407) 567-9557

Other identifiers 1

IdentifierTypeStateIssuer
1871650192OtherFLNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1386055952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 EMERALD WOODS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365936",
            "telephone_number": "407-567-9557",
            "fax_number": "571-323-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BUDLINGER AVE # A",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "606-416-2476",
            "fax_number": "571-323-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA INFECTIOUS DISEASE CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "BHUTTA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "JAVID",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "606-416-2476"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME109470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871650192",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Cloud, FL

Sources for this page

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