Organization Active NPI

United Specialty Group, LLC

  • Primary Care Clinic/Center
  • Altamonte Springs, FL
National Provider Identifier
1528465499
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME108299 Issued in FL
Legal business name
UNITED SPECIALTY GROUP, LLC
Practice address
393 Centerpointe Cir
Suite 1481
Altamonte Springs, FL 32701-3453
Phone
(321) 280-3949
Fax
(321) 280-3950
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Walter L Seifert, M.D.
Title
Owner
Phone
(321) 280-3949

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME10299 FL
Emergency Care Clinic/Center 261QE0002X ME108299 FL
Primary Care Clinic/Center 261QP2300X ME108299 FL Primary
Point of Service 305S00000X ME108299 FL

Addresses

Primary practice location

393 Centerpointe Cir
Suite 1481
Altamonte Springs, FL 32701-3453

Mailing address

393 Centerpointe Cir
Suite 1481
Altamonte Springs, FL 32701-3453
Phone (321) 280-3949

National Provider Directory

National Provider Directory

Locations

393 Centerpointe Cir
Ste 1481
Altamonte Springs, FL 32701
Phone (321) 280-3949

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1528465499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 CENTERPOINTE CIR",
            "address_2": "SUITE 1481",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013453",
            "telephone_number": "321-280-3949",
            "fax_number": "321-280-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 CENTERPOINTE CIR",
            "address_2": "SUITE 1481",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013453",
            "telephone_number": "321-280-3949",
            "fax_number": "321-280-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SPECIALTY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "SEIFERT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-280-3949",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME10299",
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "FL",
            "license": "ME108299",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME108299",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "ME108299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.