NPIMap

Organization Active NPI

Family Medical Clinic, LLC

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1780126904
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FAMILY MEDICAL CLINIC, LLC
Practice address
11601 S Orange Blossom TRL
Ste 101
Orlando, FL 32837-9437
Phone
(407) 271-4605
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Gerardo Mena
Title
Manager
Phone
(407) 271-4605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11601 S Orange Blossom TRL
Ste 101
Orlando, FL 32837-9437

Mailing address

11601 S Orange Blossom TRL
Ste 101
Orlando, FL 32837-9437
Phone (407) 271-4605

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Clinic LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1780126904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 S ORANGE BLOSSOM TRL",
            "address_2": "STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379437",
            "telephone_number": "407-271-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 S ORANGE BLOSSOM TRL",
            "address_2": "STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379437",
            "telephone_number": "407-271-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-271-4605"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Nov 7, 2016; 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.