Organization Active NPI

Hunters Creek Medical Associates PA

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1477725083
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME83295 Issued in FL
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

Updated by the provider on Jun 10, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.