NPIMap

Organization Active NPI

HNC Medical LLC

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1407234099
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS5964 Issued in FL
Legal business name
HNC MEDICAL LLC
Practice address
13000 Avalon Lake Dr
Ste 100
Orlando, FL 32828-6434
Phone
(407) 808-8763
Fax
(407) 978-6507
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Dr. George Hudson, D.O.
Title
Owner
Phone
(407) 808-8763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS5964 FL Primary

Addresses

Primary practice location

13000 Avalon Lake Dr
Ste 100
Orlando, FL 32828-6434

Mailing address

2423 S Orange Ave
139
Orlando, FL 32806-4543
Phone (407) 808-8763

National Provider Directory

National Provider Directory

Locations

13000 Avalon Lake Dr
Ste 100
Orlando, FL 32828
Phone (321) 235-0970

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1407234099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S ORANGE AVE",
            "address_2": "139",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064543",
            "telephone_number": "407-808-8763",
            "fax_number": "407-978-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 AVALON LAKE DR",
            "address_2": "STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286434",
            "telephone_number": "407-808-8763",
            "fax_number": "407-978-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HNC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-808-8763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS5964",
            "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 14, 2015; 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.