Umoren Medical LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME 103641 Issued in FL

Legal business name

UMOREN MEDICAL LLC

Practice address

6551 Constance St
Lake Worth, FL 33467-7661

Phone

(561) 429-3625

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Inemesit E UmorenNPI 1770639676

Title

Owner/Administrator

Phone

(561) 429-3625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Inemesit Essien Umoren, M.D.

  • Infectious Disease Physician
  • Boynton Beach, FL
  • NPI 1770639676
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1578956173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 CONSTANCE ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677661",
            "telephone_number": "561-429-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 CONSTANCE ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677661",
            "telephone_number": "561-429-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMOREN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "UMOREN",
        "authorized_official_first_name": "INEMESIT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-429-3625",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 103641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.