Flagel Pediatric & Family Medicine P a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME 107190 Issued in FL

Legal business name

FLAGEL PEDIATRIC & FAMILY MEDICINE P A

Practice address

2572 Commerce Parkway
North Port, FL 34289

Phone

(941) 429-3545

Fax

(941) 429-3546

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Susan D Flagel, DO

Title

Owner/Operator

Phone

(941) 429-3545

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Denise K Costa, FAMILY NP

  • Family Nurse Practitioner
  • North Port, FL
  • NPI 1013991629
  NPD (past)

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1790090538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 COMMERCE PARKWAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34289",
            "telephone_number": "941-429-3545",
            "fax_number": "941-429-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 COMMERCE PARKWAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34289",
            "telephone_number": "941-429-3545",
            "fax_number": "941-429-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGEL PEDIATRIC & FAMILY MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "FLAGEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "941-429-3545",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 107190",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS 10992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Fisher
• Fitness Quest - North Port LLC
• Fitness Quest - Venice LLC
• Christina Fitzgerald
• Dawn Marie Fitzpatrick, RN
• Susan D Flagel, D.O.
• Amy Fleetwood
• Milena Flores Garcia
• Jennifer Flores Pena, DDS
• Florida Autism Center

• Primary Care Clinic/Center in North Port, FL
• Providers in North Port, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.