St. Anthony's Family Medical Practice M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME70004 Issued in FL

Legal business name

ST. ANTHONY'S FAMILY MEDICAL PRACTICE M.D.

Practice address

1768 Park Center Dr
Orlando, FL 32861

Phone

(407) 299-6160

Fax

(407) 299-9141

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mildred A. Jimenez

Title

Owner

Phone

(407) 299-6160

Specialties & licenses 1

Addresses

Tax ID family

St Anthony's Family Medical Practice MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Anthony's Family Medical Practice MD PA

  • Family Medicine Physician
  • Ocoee, FL
  • NPI 1558653253
  NPD tax ID

Locations

Practitioners 1

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

• Anthony Alatriste, MD

  • Family Medicine Physician
  • Ocoee, FL
  • NPI 1689603383
  NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1659562957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 PARK CENTER DR",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356200",
            "telephone_number": "407-299-6160",
            "fax_number": "407-299-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 PARK CENTER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32861",
            "telephone_number": "407-299-6160",
            "fax_number": "407-299-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S FAMILY MEDICAL PRACTICE M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-299-6160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME70004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean-Marc St Laurent, COTA/L
• Macartie St Louis
• Phillip G St Louis, M.D.
• Tejumade St Matthew-Daniels, DMD
• Venette St Vry
• Makerbie St. Fleur
• Fabiola St. Fort, CRNA
• Samarra St. Hilaire, OTR
• Amanda Laurel St. John, APRN, AGPCNP-C
• Adam Gerard St. Laurent, DC

• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.