Fortis Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME83974 Issued in FL

Legal business name

FORTIS MEDICAL GROUP, LLC

Practice address

1803 Park Center Dr Ste 103
Orlando, FL 32835-6216

Phone

(407) 286-1875

Fax

(407) 386-8000

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jagmohan N Viroja, MD

Title

President

Phone

(407) 286-1875

Specialties & licenses 1

Addresses

Other names 1

• FORTIS MEDICAL GROUP, LLC Doing business as

Locations

Practitioners 1

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

• Nicholas Houlis, D.O.

  • Surgery of the Hand (Surgery) Physician
  • Kissimmee, FL
  • NPI 1508023466
  NPD (past)

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1629568159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 PARK CENTER DR STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356216",
            "telephone_number": "407-286-1875",
            "fax_number": "407-386-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 PARK CENTER DR STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356216",
            "telephone_number": "407-286-1875",
            "fax_number": "407-386-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "VIROJA",
        "authorized_official_first_name": "JAGMOHAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-286-1875",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORTIS MEDICAL GROUP, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FORTIS MEDICAL GROUP, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Forsythe
• Saudia Forsythe
• Ebony Dione Forte, FNP
• George Forte
• Manuel Correa Fortes, M.D.
• Fortis Physical Therapy, LLC
• Allyson L Fortis, APRN
• Carmen Rosa Fortuno Roman, M.D.
• Foscolo Enterprises Inc
• Foscolo Homecare Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.