Organization Active NPI

Onemed Florida LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1629603436
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONEMED FLORIDA LLC
Practice address
10129 Clear Vista St
Orlando, FL 32832-7164
Phone
(833) 663-6331
Fax
(833) 673-0418
NPI assigned
Mar 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Reynald Lamarre
Title
MD
Phone
(833) 663-6331

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X

Addresses

Primary practice location

10129 Clear Vista St
Orlando, FL 32832-7164

Mailing address

10129 Clear Vista St
Orlando, FL 32832-7164
Phone (833) 663-6331

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2277922Onemed Florida, LLC10129 Clear Vista St, Orlando, FL 32832Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory

Locations

10129 Clear Vista St
Orlando, FL 32832
Phone (407) 601-1370

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": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1629603436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10129 CLEAR VISTA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327164",
            "telephone_number": "833-663-6331",
            "fax_number": "833-673-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10129 CLEAR VISTA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327164",
            "telephone_number": "833-663-6331",
            "fax_number": "833-673-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEMED FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "LAMARRE",
        "authorized_official_first_name": "REYNALD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "833-663-6331"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.