Central Florida Physician Network LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

CENTRAL FLORIDA PHYSICIAN NETWORK LLC

Practice address

1718 Lexington Green LN Ste B
Sanford, FL 32771-1018

Phone

(407) 302-5520

NPI assigned

Jul 23, 2021

Last updated

Jul 23, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL FLORIDA PHYSICIAN NETWORK LLCAs reported in NPPES

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

Authorized official

Name

William Tedrick Johnson

Title

Vice President

Phone

(615) 372-3375

Specialties & licenses 1

Addresses

Tax ID family

Central Florida Physician Network LLC2 organizations share this tax ID, including this one

Part of

Central Florida Physician Network LLC

Other organizations with this tax ID 1

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

• Central Florida Physician Network LLC

  • Urology Physician
  • Oviedo, FL
  • NPI 1982373718
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Florida Physician Network LLC

  • Urology Physician
  • Sanford, FL
  • NPI 1932375193
  NPPES parent name

Practitioners 2

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.

• Sydney Davis, PA-C

  • Surgical Physician Assistant
  • Sanford, FL
  • NPI 1770117541

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)
• Tuan NMN Nguyenduy, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sanford, FL
  • NPI 1124097886
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1497328645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-372-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 LEXINGTON GREEN LN STE B",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711018",
            "telephone_number": "407-302-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PHYSICIAN NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FLORIDA PHYSICIAN NETWORK LLC",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Family Health Center, Inc. (TrueHealth)
• Central Florida Family Health Center, Inc. (True Health)
• Central Florida Family Health Center, Inc. (True Health)
• Central Florida Family Health Center, Inc. (True Health)
• Central Florida Family Health Center, Inc. (True Health)
• Central Florida Physician Network LLC
• Central Florida Psychological Ser Inc
• Central Florida Regional Hospital
• Central Florida Regional Hospital, Inc (HCA Florida Lake Monroe Hospital)
• Central Florida Regional Hospital, Inc (HCA Florida Lake Monroe Hospital)

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.