Regal Family Care, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME52940 Issued in FL

Legal business name

REGAL FAMILY CARE, INC.

Practice address

1120 Citrus Tower Blvd
Suite 300
Clermont, FL 34711-1909

Phone

(352) 243-0206

Fax

(352) 243-1822

NPI assigned

Jan 15, 2007

Last updated

Apr 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelly A Otero, M.D

Title

President

Phone

(352) 243-0206

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Nelly A Otero-Rodriguez, M.D

  • Family Medicine Physician
  • Mount Dora, FL
  • NPI 1821141680
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1497806715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347552379",
            "telephone_number": "352-243-0206",
            "fax_number": "352-243-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CITRUS TOWER BLVD",
            "address_2": "SUITE 300",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111909",
            "telephone_number": "352-243-0206",
            "fax_number": "352-243-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "NELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-243-0206",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME52940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "09918",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annaliese J Redondo, APRN, CPNP-PC
• Trinity Reece
• Ashley Reed, IMT3933
• Nicollette Marie Reed
• Amber Lynn Reffitt, APRN
• Sintia Jesenia Regalado, LMT, LE
• Miracia Regisme, OTD, OTR/L
• Brandon Tyler Register, LPTA
• Jannette Regueiro, P.T.
• Relax Care Companion LLC

• Family Medicine Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.