Community Medical Concepts Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME 0067164 Issued in FL

Legal business name

COMMUNITY MEDICAL CONCEPTS INC

Practice address

9753 S Orange Blossom TRL
Suite 106
Orlando, FL 32837-7841

Phone

(407) 922-3345

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Andre S. Estevez

Title

Executive Director

Phone

(305) 305-5165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1407157308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377841",
            "telephone_number": "407-922-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377841",
            "telephone_number": "407-922-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-305-5165",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 0067164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.