NPIMap

Organization Active NPI

Centralfloridaprimaryphysicians

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1497067227
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME96936 Issued in FL
Legal business name
CENTRALFLORIDAPRIMARYPHYSICIANS
Practice address
4545 Pleasant Hill Rd
Ste 112
Kissimmee, FL 34759-3400
Phone
(407) 933-7900
Fax
(321) 437-0072
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Dr. Andres F Velasco, MD
Title
Owner
Phone
(407) 345-8894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME96936 FL Primary

Addresses

Primary practice location

4545 Pleasant Hill Rd
Ste 112
Kissimmee, FL 34759-3400

Mailing address

7901 Kingspointe Pkwy
Ste1
Orlando, FL 32819-6520
Phone (407) 345-8894

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Primary Physicians4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7901 Kingspointe Pkwy
Ste 1
Orlando, FL 32819
Phone (407) 240-2361

Practitioners & affiliated clinicians

Practitioners 4

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": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1497067227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 KINGSPOINTE PKWY",
            "address_2": "STE1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328196520",
            "telephone_number": "407-345-8894",
            "fax_number": "407-345-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 PLEASANT HILL RD",
            "address_2": "STE 112",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593400",
            "telephone_number": "407-933-7900",
            "fax_number": "321-437-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRALFLORIDAPRIMARYPHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-345-8894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96936",
            "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 Jul 9, 2010; 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.