Organization Active NPI

Delaney Park Family Practice LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1629222146
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME12701 Issued in FL
Legal business name
DELANEY PARK FAMILY PRACTICE LLC
Practice address
900 Delaney Ave
Orlando, FL 32806-1246
Phone
(407) 423-2571
Fax
(407) 423-0028
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Lawrence D Porter, M.D.
Title
Owner
Phone
(407) 423-2571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME12701 FL Primary

Addresses

Primary practice location

900 Delaney Ave
Orlando, FL 32806-1246

Mailing address

1495 S Volusia Ave
Suite 102
Orange City, FL 32763-7047
Phone (386) 774-5211

Other identifiers 1

IdentifierTypeStateIssuer
48590OtherFLBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1629222146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 S VOLUSIA AVE",
            "address_2": "SUITE 102",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637047",
            "telephone_number": "386-774-5211",
            "fax_number": "386-774-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 DELANEY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061246",
            "telephone_number": "407-423-2571",
            "fax_number": "407-423-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELANEY PARK FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-423-2571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME12701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48590",
            "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 Feb 11, 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.