East Orlando Family Medicine Associates PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5964 Issued in FL

Legal business name

EAST ORLANDO FAMILY MEDICINE ASSOCIATES PA

Practice address

12301 Lake Underhill Rd
Suite 219
Orlando, FL 32828-4508

Phone

(407) 249-3077

Fax

(407) 249-3017

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Ronald C Mallonee, D.O.NPI 1417989633

Title

President

Phone

(407) 249-3077

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ronald C. Mallonee, D.O.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1417989633
  NPD (past) Authorized official
• George Michael Hudson, D.O.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1124008388
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1619906567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781789",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328781789",
            "telephone_number": "407-249-3077",
            "fax_number": "407-249-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD",
            "address_2": "SUITE 219",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284508",
            "telephone_number": "407-249-3077",
            "fax_number": "407-249-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ORLANDO FAMILY MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "MALLONEE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-249-3077",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Colonial Dental Group
• East Colonial Family Medical Center, Inc
• East Orange Endodontics
• East Orlando Audiology Hearing & Wellness
• East Orlando Dental, PA
• East Orlando Health & Rehab Center Inc
• East Orlando Primary Care P a
• East West Acutherapy
• East West Alternatives, LLC
• Eastcoast Medical Network Inc

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.