Organization Active NPI

United MD Group Inc

  • General Practice Physician
  • Sebring, FL
National Provider Identifier
1619282266
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MA 53023 Issued in FL
Legal business name
UNITED MD GROUP INC
Practice address
113 Medical Center Ave
Sebring, FL 33870-5423
Phone
(863) 402-9154
Fax
(863) 402-9155
NPI assigned
Aug 6, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Mr. Leidier Franceda
Title
President
Phone
(863) 402-9154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MA 53023 FL Primary

Addresses

Primary practice location

113 Medical Center Ave
Sebring, FL 33870-5423

Mailing address

113 Medical Center Ave
Sebring, FL 33870-5423
Phone (863) 402-9154

Other identifiers 1

IdentifierTypeStateIssuer
MA 53023OtherFLMEDICAL LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

113 Medical Center Ave
Sebring, FL 33870
Phone (863) 402-9154

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1619282266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705423",
            "telephone_number": "863-402-9154",
            "fax_number": "863-402-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705423",
            "telephone_number": "863-402-9154",
            "fax_number": "863-402-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "FRANCEDA",
        "authorized_official_first_name": "LEIDIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-402-9154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "MA 53023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MA 53023",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.