NPIMap

Organization Active NPI

Semoran Park Family Physicians, PA

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1477749778
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME82356 Issued in FL
Legal business name
SEMORAN PARK FAMILY PHYSICIANS, PA
Practice address
1277 N Semoran Blvd
Suite 104
Orlando, FL 32807-3569
Phone
(407) 447-7550
Fax
(407) 447-7551
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Jennifer Lynn Goldin, M.D.NPI 1952340374
Title
Owner
Phone
(407) 447-7550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME82356 FL Primary

Addresses

Primary practice location

1277 N Semoran Blvd
Suite 104
Orlando, FL 32807-3569

Mailing address

1277 N Semoran Blvd
Suite 104
Orlando, FL 32807-3569
Phone (407) 447-7550

National Provider Directory

National Provider Directory

Locations

1277 N Semoran Blvd
Ste 104
Orlando, FL 32807
Phone (407) 447-7550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1477749778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 N SEMORAN BLVD",
            "address_2": "SUITE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073569",
            "telephone_number": "407-447-7550",
            "fax_number": "407-447-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N SEMORAN BLVD",
            "address_2": "SUITE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073569",
            "telephone_number": "407-447-7550",
            "fax_number": "407-447-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMORAN PARK FAMILY PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-447-7550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.