NPIMap

Organization Active NPI

Family Medicine & Clinical Research of Central Florida LLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1730378241
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA9102434 Issued in FL
Legal business name
FAMILY MEDICINE & CLINICAL RESEARCH OF CENTRAL FLORIDA LLC
Practice address
1603 S Hiawassee Rd
Suite 115
Orlando, FL 32835-6438
Phone
(407) 299-6700
Fax
(407) 299-2265
NPI assigned
Oct 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Dennis George Gay II, PA-CNPI 1992704670
Title
President / Ceo
Phone
(407) 451-1849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA9102434 FL Primary

Addresses

Primary practice location

1603 S Hiawassee Rd
Suite 115
Orlando, FL 32835-6438

Mailing address

1603 S Hiawassee Rd
Suite 115
Orlando, FL 32835-6438
Phone (407) 299-6700

Other identifiers 1

IdentifierTypeStateIssuer
173000000XOtherFLPRIMARY TAXONOMY

National Provider Directory

National Provider Directory

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": "1192924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1730378241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 S HIAWASSEE RD",
            "address_2": "SUITE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356438",
            "telephone_number": "407-299-6700",
            "fax_number": "407-299-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S HIAWASSEE RD",
            "address_2": "SUITE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356438",
            "telephone_number": "407-299-6700",
            "fax_number": "407-299-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE & CLINICAL RESEARCH OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-21",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "407-451-1849",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "PA9102434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY TAXONOMY",
            "identifier": "173000000X",
            "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 Jul 24, 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.

Verify at the official NPI Registry.