Organization Active NPI

Medical Partners of Central Florida, PA

  • Pediatrics Physician
  • Lake Mary, FL
National Provider Identifier
1407977150
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MEDICAL PARTNERS OF CENTRAL FLORIDA, PA
Practice address
735 Primera Blvd
Ste 135
Lake Mary, FL 32746-2112
Phone
(407) 321-0085
Fax
(407) 328-7658
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Michelle Patrick
Title
Office Manager
Phone
(407) 321-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X FL Primary

Addresses

Primary practice location

735 Primera Blvd
Ste 135
Lake Mary, FL 32746-2112

Mailing address

735 Primera Blvd
Ste 135
Lake Mary, FL 32746-2112
Phone (407) 321-0085

Other names 1

  • CENTRAL FLORIDA PEDIATRICS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0901824Central Florida Pediatrics735 Primera Blvd #135, Lake Mary, FL 32746Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory

Locations

735 Primera Blvd
Ste 135
Lake Mary, FL 32746
Phone (407) 321-0085

2881 Wellness Ave
Orange City, FL 32763
Phone (386) 917-0450

Practitioners & affiliated clinicians

Practitioners 7

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1407977150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PRIMERA BLVD",
            "address_2": "STE 135",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462112",
            "telephone_number": "407-321-0085",
            "fax_number": "407-328-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PRIMERA BLVD",
            "address_2": "STE 135",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462112",
            "telephone_number": "407-321-0085",
            "fax_number": "407-328-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARTNERS OF CENTRAL FLORIDA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-321-0085"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL FLORIDA PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.