Nelson M Pichardo MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME-70866 Issued in FL

Legal business name

NELSON M PICHARDO MD, LLC

Practice address

2228 S Kirkman Rd
Orlando, FL 32811-2308

Phone

(407) 615-8180

Fax

(407) 615-8182

NPI assigned

Oct 3, 2006

Last updated

Mar 12, 2020By 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. Nelson Miguel Pichardo, MDNPI 1356321665

Title

President

Phone

(863) 421-9447

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Nelson Miguel Pichardo, M.D.

  • Internal Medicine Physician
  • Davenport, FL
  • NPI 1356321665
  Authorized official Same address or phone
• Tomas Ferrer Capiro, M.D

  • General Practice Physician
  • Orlando, FL
  • NPI 1548666183
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1437244738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022211",
            "telephone_number": "727-824-0780",
            "fax_number": "813-514-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112308",
            "telephone_number": "407-615-8180",
            "fax_number": "407-615-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON M PICHARDO MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-421-9447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME-70866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Carol Neira, FNP
• Tyler M Neitlich, MD
• Natalie A Nejad
• Chrislie Nelmeus
• Taylor Nelms, RMHCI
• Alix Eugene Nelson, PTA
• Bryce A Nelson
• Cathyanna Nelson, MSW
• Elizabeth D Nelson, M.D.
• Haley Nelson

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.