Organization Active NPI

Center for Family Practice & Sports Medicine P.a.

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1558319871
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 4999 Issued in FL
Legal business name
CENTER FOR FAMILY PRACTICE & SPORTS MEDICINE P.A.
Practice address
720 Oak Commons Blvd
Kissimmee, FL 34741-4100
Phone
(407) 933-8036
Fax
(407) 932-0215
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Joel Marc Weinberger, D.O.
Title
Ceo
Phone
(407) 933-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS 4999 FL Primary

Addresses

Primary practice location

720 Oak Commons Blvd
Kissimmee, FL 34741-4100

Mailing address

720 Oak Commons Blvd
Kissimmee, FL 34741-4100
Phone (407) 933-2522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1558319871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414100",
            "telephone_number": "407-933-2522",
            "fax_number": "407-932-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414100",
            "telephone_number": "407-933-8036",
            "fax_number": "407-932-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY PRACTICE & SPORTS MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-933-2522",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 4999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.