Organization Active NPI

Florida Advanced Medicine LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1386268993
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORIDA ADVANCED MEDICINE LLC
Practice address
13550 Village Park Dr Ste 220
Orlando, FL 32837-7835
Phone
(407) 738-0803
Fax
(833) 398-2081
NPI assigned
May 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Abbas Rizvi, MDNPI 1437404274
Title
Manager/Owner
Phone
(407) 738-0803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13550 Village Park Dr Ste 220
Orlando, FL 32837-7835

Mailing address

13550 Village Park Dr Ste 220
Orlando, FL 32837-7835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200720000216 FL Part B Supplier - Clinic/Group Practice 1052735487 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

13550 Village Park Dr
Unit 220
Orlando, FL 32837
Phone (407) 738-0803

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23722/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1386268993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 VILLAGE PARK DR STE 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377835",
            "fax_number": "833-398-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 VILLAGE PARK DR STE 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377835",
            "telephone_number": "407-738-0803",
            "fax_number": "833-398-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ADVANCED MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-31",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "407-738-0803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.