St Cloud Gastroenterology PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME35796 Issued in FL

Legal business name

ST CLOUD GASTROENTEROLOGY PLLC

Practice address

2801 13TH Street
Saint Cloud, FL 34769

Phone

(407) 892-8925

Fax

(407) 892-8926

NPI assigned

Feb 26, 2014

Last updated

Sep 4, 2018By 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

Dr. Rafael Fleites, M.D.

Title

Owner

Phone

(407) 892-8925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1518382647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 13TH STREET",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "407-892-8925",
            "fax_number": "407-892-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 13TH STREET",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-892-8925",
            "fax_number": "407-892-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLOUD GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "FLEITES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-892-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME35796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.