NPIMap

Organization Active NPI

Medfund LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Orlando, FL
National Provider Identifier
1437152121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC5217 Issued in FL
Legal business name
MEDFUND LLC
Practice address
500 N Semoran Blvd
Ste 103
Orlando, FL 32807-3381
Phone
(407) 275-6072
Fax
(407) 275-7301
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Martin J Kern
Title
Senior Vice President
Phone
(941) 925-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC5217 FL Primary

Addresses

Primary practice location

500 N Semoran Blvd
Ste 103
Orlando, FL 32807-3381

Mailing address

240 N Washington Blvd
Sarasota, FL 34236-5945
Phone (941) 925-3490

Other identifiers 2

IdentifierTypeStateIssuer
V2399OtherFLBCBS PROVIDER #
105715-04OtherFLCITRUS HMO

Other names 1

  • Horizon Orlando One LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1003 Del Prado Blvd S
Ste 104
Cape Coral, FL 33990
Phone (239) 573-6333

6349 Beach Blvd
Ste 1A
Jacksonville, FL 32216
Phone (904) 636-5674

1370 E Venice Ave
Venice, FL 34285
Phone (941) 485-6736

1117 N Olive Ave
Ste 101
West Palm Beach, FL 33401
Phone (561) 651-7410

1975 Veterans Pkwy
Columbus, GA 31904
Phone (706) 653-8303

7927 Forest Ln
Ste D
Dallas, TX 75230
Phone (972) 960-6674

4041 W Wheatland Rd
Ste 178
Dallas, TX 75237
Phone (972) 283-4727

17482 Northwest Fwy
Jersey Village, TX 77040
Phone (713) 856-5955

2760 Virginia Pkwy
Ste 200
McKinney, TX 75071
Phone (469) 587-7546

906 W FRNT St
Tyler, TX 75702
Phone (903) 593-8114

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437152121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WASHINGTON BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365945",
            "telephone_number": "941-925-3490",
            "fax_number": "941-953-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N SEMORAN BLVD",
            "address_2": "STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073381",
            "telephone_number": "407-275-6072",
            "fax_number": "407-275-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "941-925-3490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC5217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "V2399",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HMO",
            "identifier": "105715-04",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Orlando One LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.