Organization Active NPI

Joan Coupland, MD PA

  • Primary Care Clinic/Center
  • Oviedo, FL
National Provider Identifier
1467559641
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME79870 Issued in FL
Legal business name
JOAN COUPLAND, MD PA
Practice address
1000 W Broadway St
205
Oviedo, FL 32765-9260
Phone
(407) 706-1650
Fax
(407) 706-1651
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Joan Coupland, MD
Title
Owner
Phone
(407) 706-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME79870 FL Primary

Addresses

Primary practice location

1000 W Broadway St
205
Oviedo, FL 32765-9260

Mailing address

1000 W Broadway St
205
Oviedo, FL 32765-9260
Phone (407) 706-1650

Other identifiers 3

IdentifierTypeStateIssuer
DF5015OtherFLMEDICARE RAILROAD GROUP
276167000MedicaidFL
P00370860OtherFLMEDICARE RAILROAD INDIVID

Other names 1

  • Central Florida Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1000 W Broadway St
Ste 203
Oviedo, FL 32765
Phone (407) 706-1650

1000 W Broadway St
#205
Oviedo, FL 32765
Phone (407) 706-1650

1000 W Broadway St
Ste 230
Oviedo, FL 32765
Phone (407) 332-1300

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1467559641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST",
            "address_2": "205",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659260",
            "telephone_number": "407-706-1650",
            "fax_number": "407-706-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST",
            "address_2": "205",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659260",
            "telephone_number": "407-706-1650",
            "fax_number": "407-706-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN COUPLAND, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "COUPLAND",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-706-1650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME79870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DF5015",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276167000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD INDIVID",
            "identifier": "P00370860",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Florida Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.