Organization Active NPI

Thomas J. Federico MD LLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1538300348
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0047275 Issued in FL
Legal business name
THOMAS J. FEDERICO MD LLC
Practice address
600 N. Hart Blvd
Orlando, FL 32818-6834
Phone
(407) 297-0087
Fax
(407) 290-1753
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Thomas Joseph Federico, M.D.
Title
President/Owner
Phone
(407) 297-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0047275 FL Primary

Addresses

Primary practice location

600 N. Hart Blvd
Orlando, FL 32818-6834

Mailing address

600 N. Hart Blvd
Orlando, FL 32818-6834
Phone (407) 297-0087

National Provider Directory

National Provider Directory

Locations

600 N Hart Blvd
Orlando, FL 32818
Phone (407) 297-0087

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1538300348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N. HART BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186834",
            "telephone_number": "407-297-0087",
            "fax_number": "407-290-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. HART BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186834",
            "telephone_number": "407-297-0087",
            "fax_number": "407-290-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. FEDERICO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "FEDERICO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-297-0087",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0047275",
            "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 Jun 26, 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.