Active NPI
Physician Next Door, LLC
- Adult Medicine Physician
- Orlando, FL
National Provider Identifier
1568716645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OS7691
- Legal business name
- PHYSICIAN NEXT DOOR, LLC
- Practice address
- 1834 N Alafaya TRL
Ste C
Orlando, FL 32826-4743 - Phone
- (941) 870-0199
- Fax
- (941) 870-0203
- NPI assigned
- Oct 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gabriel Nuriel
- Title
- Authorized Official / Shareholder
- Phone
- (941) 870-0199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | OS7691 | FL | Primary |
Addresses
Primary practice location
1834 N Alafaya TRL
Ste C
Orlando, FL 32826-4743
Mailing address
1834 N Alafaya TRL
Ste C
Orlando, FL 32826-4743
Phone (941) 870-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HM571A | Other | FL | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
1834 N Alafaya Trl
Ste C
Orlando, FL 32826
Phone (941) 870-0199
3135 Southgate Cir
Sarasota, FL 34239
Phone (941) 870-0194
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Punta Gorda, FL
- NPI 1104847672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435104000000",
"number": "1568716645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 N ALAFAYA TRL",
"address_2": "STE C",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264743",
"telephone_number": "941-870-0199",
"fax_number": "941-870-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1834 N ALAFAYA TRL",
"address_2": "STE C",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264743",
"telephone_number": "941-870-0199",
"fax_number": "941-870-0203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN NEXT DOOR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-29",
"last_updated": "2015-06-24",
"status": "A",
"authorized_official_last_name": "NURIEL",
"authorized_official_first_name": "GABRIEL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL / SHAREHOLDER",
"authorized_official_telephone_number": "941-870-0199",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "OS7691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "HM571A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Physician Associates LLC
- Physician Associates LLC
- Physician Associates LLC
- Physician Management Services of Florida LLC
- Physician Next Door, LLC
- Physician Services Ipa LLC
- Physician Services of Florida LLC
- Physician Surgical Network Inc. (Central Florida Arthritis and Osteoporosis Center)
- Physicians Alliance for Health, PLC
- Physicians Back & Neck Center Orlando Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.