Active NPI
Delaney Park Family Practice LLC
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1629222146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME12701
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48590 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1538117700
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.