Organization Active NPI

Comprehensive Family Medicine of Orlando LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1659739142
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100303 Issued in FL
Legal business name
COMPREHENSIVE FAMILY MEDICINE OF ORLANDO LLC
Practice address
5946 Curry Ford Rd
Suite 103
Orlando, FL 32822-4280
Phone
(407) 985-5677
Fax
(407) 985-5682
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Maria Elena Rodriguez, MD
Title
President
Phone
(407) 985-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME100303 FL Primary

Addresses

Primary practice location

5946 Curry Ford Rd
Suite 103
Orlando, FL 32822-4280

Mailing address

PO Box 720370
Orlando, FL 32872-0370
Phone (407) 985-5677

Other identifiers 1

IdentifierTypeStateIssuer
016729200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1659739142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720370",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328720370",
            "telephone_number": "407-985-5677",
            "fax_number": "407-985-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5946 CURRY FORD RD",
            "address_2": "SUITE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224280",
            "telephone_number": "407-985-5677",
            "fax_number": "407-985-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY MEDICINE OF ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-985-5677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016729200",
            "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 Sep 13, 2016; 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.