Organization Active NPI

Family Care Specialists of Orlando

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1700854031
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY CARE SPECIALISTS OF ORLANDO
Practice address
7932 W Sand Lake Rd
Suite 200
Orlando, FL 32819-7263
Phone
(407) 355-7759
Fax
(407) 355-4987
NPI assigned
Mar 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Dr. Mahnaz Qayyum, M.D.NPI 1457338519
Title
Physician
Phone
(407) 952-2320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7932 W Sand Lake Rd
Suite 200
Orlando, FL 32819-7263

Mailing address

7932 W Sand Lake Rd
Suite 200
Orlando, FL 32819-7263
Phone (407) 355-7759

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
10D0984644Family Care Specialists of Orlando7932 W Sand Lake Rd Ste 200, Orlando, FL 32819Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

7932 W Sand Lake Rd
Ste 200
Orlando, FL 32819
Phone (407) 355-7759

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1700854031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-355-7759",
            "fax_number": "407-355-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-355-7759",
            "fax_number": "407-355-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE SPECIALISTS OF ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-11",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "QAYYUM",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-952-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 20, 2015; 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.