Organization Active NPI

Central Florida Primary Care P L C

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1609059666
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME94731 Issued in FL
Legal business name
CENTRAL FLORIDA PRIMARY CARE P L C
Practice address
7345 W Sand Lake Rd Ste 206
Orlando, FL 32819-5280
Phone
(407) 248-8862
Fax
(407) 248-8863
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. William Munoz, MDNPI 1699849224
Title
Owner
Phone
(407) 248-8862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME94731 FL Primary

Addresses

Primary practice location

7345 W Sand Lake Rd Ste 206
Orlando, FL 32819-5280

Mailing address

PO Box 884
Windermere, FL 34786-0884
Phone (407) 248-8862

Other identifiers 1

IdentifierTypeStateIssuer
003529000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080306000164 FL Part B Supplier - Clinic/Group Practice 3971688540 Receives reassigned benefits from 22 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

7345 W Sand Lake Rd
Ste 206
Orlando, FL 32819
Phone (407) 248-8862

7345 W Sand Lake Rd
Ste 222
Orlando, FL 32819
Phone (407) 248-8862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJGCA

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1609059666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347860884",
            "telephone_number": "407-248-8862",
            "fax_number": "407-248-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 W SAND LAKE RD STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195280",
            "telephone_number": "407-248-8862",
            "fax_number": "407-248-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PRIMARY CARE P L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-248-8862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003529000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.