NPIMap

Organization Active NPI

Advanced Body Medicine LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1518173293
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED BODY MEDICINE LLC
Practice address
12701 S John Young Pkwy
Suite 107
Orlando, FL 32837-3420
Phone
(407) 856-0076
Fax
(407) 856-0751
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Mr. Oswaldo Perez
Title
Ceo
Phone
(407) 856-0076

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X FL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X FL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X FL

Addresses

Primary practice location

12701 S John Young Pkwy
Suite 107
Orlando, FL 32837-3420

Mailing address

12701 S John Young Pkwy
Suite 107
Orlando, FL 32837-3420
Phone (407) 856-0076

National Provider Directory

National Provider Directory

Locations

12701 S John Young Pkwy
Ste 107
Orlando, FL 32837
Phone (407) 856-0076

Practitioners & affiliated clinicians

Practitioners 2

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1518173293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 S JOHN YOUNG PKWY",
            "address_2": "SUITE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373420",
            "telephone_number": "407-856-0076",
            "fax_number": "407-856-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 S JOHN YOUNG PKWY",
            "address_2": "SUITE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373420",
            "telephone_number": "407-856-0076",
            "fax_number": "407-856-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BODY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "OSWALDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-856-0076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 20, 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.