Onsite Medical Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

L14000123143 Issued in FL

Legal business name

ONSITE MEDICAL GROUP LLC

Practice address

3200 W Colonial Dr
Orlando, FL 32808-8023

Phone

(407) 801-2664

Fax

(877) 987-4232

NPI assigned

Aug 17, 2014

Last updated

Jun 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fernando Gant

Title

VP of Operations and Compliance

Phone

(407) 801-2664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1598164451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12269 HICKORY FOREST RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322264201",
            "telephone_number": "407-801-2664",
            "fax_number": "877-987-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328088023",
            "telephone_number": "407-801-2664",
            "fax_number": "877-987-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-17",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "VP OF OPERATIONS AND COMPLIANCE",
        "authorized_official_telephone_number": "407-801-2664"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "L14000123143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krizia Kaye Ong, MD
• Melinda Deiparine Ong, APRN, FNP-C
• Christina Marie Oninku, APRN
• Onlinecarecom LLC
• Onsite Holistics and Integrative Medicine, LLC
• Sandra Ontkos
• Ikechukwu Anthony Onuorah
• Augusta Azuka Onyechi, APRN
• Ugomma Onyeukwu, CNP
• Wilfred Ikemefuna Onyia, MD

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.