Mainstreet Medical Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP1279552 Issued in FL

Legal business name

MAINSTREET MEDICAL CENTER

Practice address

8723 International Dr
Suite 115
Orlando, FL 32819-9337

Phone

(407) 370-4881

Fax

(407) 370-4867

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arlene M Palazzolo, MD

Title

Medical Director

Phone

(407) 370-4881

Specialties & licenses 1

Addresses

Other names 1

• Mainstreet Physicians Other name

Tax ID family

Mainstreet Medical Center2 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.

• Mainstreet Medical Center, Inc.

  • Occupational Medicine Clinic/Center
  • Orlando, FL
  • NPI 1548273139
  NPD tax ID

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760415491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 S LYONS CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-365-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8723 INTERNATIONAL DR",
            "address_2": "SUITE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199337",
            "telephone_number": "407-370-4881",
            "fax_number": "407-370-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALAZZOLO",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-370-4881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1279552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mainstreet Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erica Ann Mailler, MD
• Nina Mailliard
• Nicole Mailloux, M.D.
• Main Street Childrens Dentistry and Orthodontics of Windermere PLLC
• Main Street Childrens Dentistry and Orthodontics Waterford Lakes PLLC
• Mainstreet Medical Center, Inc.
• Christopher Maiolo Campos
• William Stephen Maiorano, O.D.
• Kathleen Mair, MA, LMHC
• Rehan Mairajuddin, BCBA

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.