NPIMap

Organization Active NPI

Florida Vascular Consultants PA

  • Vascular Surgery Physician
  • Maitland, FL
National Provider Identifier
1770590804
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
FLORIDA VASCULAR CONSULTANTS PA
Practice address
400 S Maitland Ave
Maitland, FL 32751-5619
Phone
(407) 539-2100
Fax
(407) 539-1472
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Dr. G. Kendrix Adcock, M.D.
Title
President / Surgeon
Phone
(407) 539-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X FL Primary

Addresses

Primary practice location

400 S Maitland Ave
Maitland, FL 32751-5619

Mailing address

400 S Maitland Ave
Maitland, FL 32751-5619
Phone (407) 539-2100

National Provider Directory

National Provider Directory

Locations

400 S Maitland Ave
Maitland, FL 32751
Phone (407) 539-2100

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1770590804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515619",
            "telephone_number": "407-539-2100",
            "fax_number": "407-539-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515619",
            "telephone_number": "407-539-2100",
            "fax_number": "407-539-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA VASCULAR CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "G. KENDRIX",
        "authorized_official_title_or_position": "PRESIDENT / SURGEON",
        "authorized_official_telephone_number": "407-539-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.