Organization Active NPI

Doctorofmedicine, LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Orlando, FL
National Provider Identifier
1528894284
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
DOCTOROFMEDICINE, LLC
Practice address
14765 Englert Aly
Orlando, FL 32827-7903
Phone
(786) 247-6187
Fax
(337) 270-2662
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Manuel Carrazana, MD, DABOMNPI 1427551233
Title
President
Phone
(786) 247-6187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Obesity Medicine (Preventive Medicine) Physician 2083B0002X Primary

Addresses

Primary practice location

14765 Englert Aly
Orlando, FL 32827-7903

Mailing address

14765 Englert Aly
Orlando, FL 32827-7903
Phone (786) 247-6187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120000474 FL Part B Supplier - Clinic/Group Practice 8628503265 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

6775 Chopra Ter
Orlando, FL 32827
Phone (407) 720-8985

6775 Chopra Ter
Ste 2101
Orlando, FL 32827
Phone (407) 863-4128

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1528894284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14765 ENGLERT ALY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277903",
            "telephone_number": "786-247-6187",
            "fax_number": "337-270-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14765 ENGLERT ALY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277903",
            "telephone_number": "786-247-6187",
            "fax_number": "337-270-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOROFMEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "CARRAZANA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-247-6187",
        "authorized_official_credential": "MD, DABOM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.