Active NPI
Lawrence D Kelley
- Family Medicine Physician
- Longwood, FL
National Provider Identifier
1639166317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LAWRENCE D KELLEY
- Practice address
- 587 E State Road 434
Suite 1071
Longwood, FL 32750-5201 - Phone
- (407) 767-8500
- Fax
- (407) 767-6999
- NPI assigned
- Sep 29, 2005
- 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
- Lawrence Delano Kelley, M.D.
- Title
- Owner
- Phone
- (407) 767-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
587 E State Road 434
Suite 1071
Longwood, FL 32750-5201
Mailing address
587 E State Road 434
Suite 1071
Longwood, FL 32750-5201
Phone (407) 767-8500
National Provider Directory
National Provider DirectoryLocations
515 W State Road 434
Ste 335
Longwood, FL 32750
Phone (407) 767-8500
Practitioners & 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
- Longwood, FL
- NPI 1144263393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1639166317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 E STATE ROAD 434",
"address_2": "SUITE 1071",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505201",
"telephone_number": "407-767-8500",
"fax_number": "407-767-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 E STATE ROAD 434",
"address_2": "SUITE 1071",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505201",
"telephone_number": "407-767-8500",
"fax_number": "407-767-6999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE D KELLEY",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-29",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "DELANO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-767-8500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.