Active NPI
Central FL Reg Obstetrics and Gynecology, LLC
- Obstetrics & Gynecology Physician
- Oviedo, FL
National Provider Identifier
1790725117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CENTRAL FL REG OBSTETRICS AND GYNECOLOGY, LLC
- Practice address
- 1000 Executive Dr
Suite 3
Oviedo, FL 32765-8140 - Phone
- (407) 365-2929
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mickey Pickler
- Title
- VP
- Phone
- (850) 523-2117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1000 Executive Dr
Suite 3
Oviedo, FL 32765-8140
Mailing address
1000 Executive Dr
Suite 3
Oviedo, FL 32765-8140
Phone (407) 365-2929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74908 | Other | FL | BCBS OF FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1790725117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EXECUTIVE DR",
"address_2": "SUITE 3",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658140",
"telephone_number": "407-365-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EXECUTIVE DR",
"address_2": "SUITE 3",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658140",
"telephone_number": "407-365-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FL REG OBSTETRICS AND GYNECOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "PICKLER",
"authorized_official_first_name": "MICKEY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "850-523-2117"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "74908",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
- CCRC Development Corporation
- Cecilia Panlilio Pineda MD Corp
- Randi Hope Cecilio, SLP
- Centers for Pain and Rehabilitation
- Centerwell Senior Primary Care (FL) Inc.
- Central Florida Eyes
- Central Florida Ophthalmology PLLC
- Central Florida Physician Network LLC
- Central Medical Systems LLC
- Nichole Lyndsay Cerna, M.S., BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.