Organization Active NPI

Essere Vero Inc

Doing business as Benedico Bambini Medical Group

  • Clinic/Center
  • Clermont, FL
National Provider Identifier
1558700674
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME98015 Issued in FL
Legal business name
ESSERE VERO INC
Doing business as
Benedico Bambini Medical Group
Practice address
2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389
Phone
(352) 536-6002
Fax
(352) 536-6018
NPI assigned
Jun 21, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Matthew L Smith, M.D.
Title
Physician
Phone
(352) 536-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME98015 FL Primary

Addresses

Primary practice location

2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389

Mailing address

2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389
Phone (352) 536-6002

Other identifiers 1

IdentifierTypeStateIssuer
277908100MedicaidFL

Other names 1

  • Benedico Bambini Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1558700674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 HARTWOOD MARSH RD",
            "address_2": "SUITE 9",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115389",
            "telephone_number": "352-536-6002",
            "fax_number": "352-536-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HARTWOOD MARSH RD",
            "address_2": "SUITE 9",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115389",
            "telephone_number": "352-536-6002",
            "fax_number": "352-536-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSERE VERO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-536-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME98015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277908100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benedico Bambini Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.