Organization Active NPI

Lucille Belnick MD PA Corp

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1700118239
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME65336 Issued in FL
Legal business name
LUCILLE BELNICK MD PA CORP
Practice address
5474 Lake Howell Rd
Winter Park, FL 32792-1034
Phone
(407) 679-3400
Fax
(407) 679-3412
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mrs. Lucille B Belnick, M.D.
Title
Owner
Phone
(407) 679-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME65336 FL Primary

Addresses

Primary practice location

5474 Lake Howell Rd
Winter Park, FL 32792-1034

Mailing address

5474 Lake Howell Road
Winter Park, FL 32792
Phone (407) 679-3400

Other identifiers 1

IdentifierTypeStateIssuer
1275517690OtherFLNPI

National Provider Directory

National Provider Directory

Locations

5554 Lake Howell Rd
Winter Park, FL 32792
Phone (407) 679-3400

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": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1700118239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5474 LAKE HOWELL ROAD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "407-679-3400",
            "fax_number": "407-679-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5474 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921034",
            "telephone_number": "407-679-3400",
            "fax_number": "407-679-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILLE BELNICK MD PA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "BELNICK",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-679-3400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME65336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275517690",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.