100 Physicians Medicine, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

100 PHYSICIANS MEDICINE, LLC

Practice address

13721 N US Highway 441 Ste 2
Lady Lake, FL 32159-8910

Phone

(352) 254-5544

NPI assigned

Jan 26, 2022

Last updated

Jan 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miguel J De Puigdorfila, DOMNPI 1033728076

Title

Managing Director

Phone

(505) 900-1476

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miguel J. De Puigdorfila

  • Acupuncturist
  • Wildwood, FL
  • NPI 1033728076
  NPD Authorized official

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1407508930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17495 SE 74TH RAES HALL AVE",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625352",
            "telephone_number": "505-900-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13721 N US HIGHWAY 441 STE 2",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598910",
            "telephone_number": "352-254-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PHYSICIANS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "DE PUIGDORFILA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "505-900-1476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Home Care Services LLC
• 352-Dentist, PA
• Aarp Physical Medicine and Rehab LLC
• Abbey Rehabilitation Specialists of Lake County Inc (Village Rehabilitation Specialists of Lady Lake)
• Clarissa Rose Abrantes, MD
• Abu Azizullah MD PA

• Acupuncturist in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.