Central Florida Injury Southwest, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CENTRAL FLORIDA INJURY SOUTHWEST, INC

Practice address

882 S Kirkman Rd Ste 101
Orlando, FL 32811-2652

Phone

(407) 578-2350

Fax

(407) 264-8300

NPI assigned

Nov 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jerold J Fadem Jr., M.D.NPI 1629046958

Title

Physician

Phone

(407) 578-2351

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerold J Fadem Jr., M.D.

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1629046958
  NPD Authorized official
• Nancy Hill Wildrick, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1760712640
  NPD (past)

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1780911925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 S KIRKMAN RD STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112652",
            "telephone_number": "407-578-2350",
            "fax_number": "407-264-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 S KIRKMAN RD STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112652",
            "telephone_number": "407-578-2350",
            "fax_number": "407-264-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA INJURY SOUTHWEST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "FADEM",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-578-2351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Health Services LLC
• Central Florida Healthcare Group LLC
• Central Florida Hospitalist Partners PA
• Central Florida Infectious Diseases Group PL
• Central Florida Injury East, Inc
• Central Florida Internists Inc
• Central Florida Kidney Centers Inc
• Central Florida Kidney Centers Inc
• Central Florida Kidney Centers Inc
• Central Florida Kidney Centers Inc

• Physical Medicine & Rehabilitation Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.