Active NPI
Hunters Creek Medical Associates PA
- Internal Medicine Physician
- Kissimmee, FL
National Provider Identifier
1477725083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME83295
- Legal business name
- HUNTERS CREEK MEDICAL ASSOCIATES PA
- Practice address
- 1178 Cypress Glen Circle
Kissimmee, FL 34741 - Phone
- (407) 943-8883
- Fax
- (407) 943-8854
- NPI assigned
- Mar 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria I Otero, RMA
- Title
- Practice Manager
- Phone
- (407) 943-8883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME83295 | FL | Primary |
Addresses
Primary practice location
1178 Cypress Glen Circle
Kissimmee, FL 34741
Mailing address
1178 Cypress Glen Circle
Kissimmee, FL 34741
Phone (407) 943-8883
National Provider Directory
National Provider DirectoryLocations
1100 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 943-8883
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1477725083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 CYPRESS GLEN CIRCLE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-943-8883",
"fax_number": "407-943-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 CYPRESS GLEN CIRCLE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-943-8883",
"fax_number": "407-943-8854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTERS CREEK MEDICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-25",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "OTERO",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "407-943-8883",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RMA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME83295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.