Organization Active NPI

Long Term Care Network

  • Internal Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1477041135
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LONG TERM CARE NETWORK
Practice address
7025 County Road 46a Ste 1071-134
Lake Mary, FL 32746-4721
Phone
(407) 692-7999
NPI assigned
Apr 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Nerlyn Jestine
Title
Manager
Phone
(561) 460-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7025 County Road 46a Ste 1071-134
Lake Mary, FL 32746-4721

Mailing address

7025 County Road 46a Ste 1071-134
Lake Mary, FL 32746-4721

National Provider Directory

National Provider Directory

Locations

7025 County Road 46A
Ste 1071134
Lake Mary, FL 32746
Phone (407) 692-7999

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1477041135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 COUNTY ROAD 46A STE 1071-134",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 COUNTY ROAD 46A STE 1071-134",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464721",
            "telephone_number": "407-692-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "JESTINE",
        "authorized_official_first_name": "NERLYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-460-2464"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 27, 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.