Organization Active NPI

Gloriosa Antiporda, M.D., P.a.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1467472373
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME47869 Issued in FL
Legal business name
GLORIOSA ANTIPORDA, M.D., P.A.
Practice address
8225 Normandy Blvd
Jacksonville, FL 32221-6650
Phone
(904) 378-8520
Fax
(904) 378-8570
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Gloriosa Reyes Antiporda, M.D.
Title
President
Phone
(904) 378-8520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME49981 FL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME47869 FL Primary

Addresses

Primary practice location

8225 Normandy Blvd
Jacksonville, FL 32221-6650

Mailing address

PO Box 850001
Orlando, FL 32885-0394
Phone (904) 282-6331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1467472373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850394",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322216650",
            "telephone_number": "904-378-8520",
            "fax_number": "904-378-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOSA ANTIPORDA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "ANTIPORDA",
        "authorized_official_first_name": "GLORIOSA",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-378-8520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME49981",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME47869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.