Florida Omm Group LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

FLORIDA OMM GROUP LLC

Practice address

826 W Lyman Ave
Winter Park, FL 32789-4132

Phone

(407) 341-2854

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By 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

Dr. Mark Applegate, DONPI 1063915460

Title

Physician Owner

Phone

(407) 341-2854

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Applegate, DO

  • Emergency Medicine Physician
  • Steubenville, OH
  • NPI 1063915460
  NPD Authorized official

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1609653617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W LYMAN AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894132",
            "telephone_number": "407-341-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W LYMAN AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894132",
            "telephone_number": "407-341-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA OMM GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "407-341-2854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Florida Neuropathy & Pain Centers Inc
• Florida Oncology Network PA
• Florida Orthopaedic Clinic PA
• Florida Otolaryngology Group, P.a.
• Florida Pain & Rehabilitation Institute Inc (National Pain Institute)
• Florida Pain and Rehabilitation Associates Inc (Npi RX)

• Medical Specialty Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.