Organization Active NPI

First Care Medical Group

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1811310345
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIRST CARE MEDICAL GROUP
Practice address
115 E Lancaster Rd Ste a
Orlando, FL 32809
Phone
(407) 888-8411
Fax
(407) 888-8371
NPI assigned
Feb 4, 2014
Organization subpart
Yes
Parent organization
FIRST CARE CHIROPRACTIC & FAMILY PRACTICE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Suzy M Salomon, RMA
Title
Office Adminstrator
Phone
(407) 888-8411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

115 E Lancaster Rd Ste a
Orlando, FL 32809

Mailing address

115 E Lancaster Rd Ste B
Orlando, FL 32809-6689
Phone (407) 888-8411

Other identifiers 2

IdentifierTypeStateIssuer
0061JOtherFLBLUE CROSS
010553900MedicaidFL

Other names 1

  • First Care Chiropractic & Family Practice Center Inc Former legal business name

National Provider Directory

National Provider Directory
Part of
First Care Chiropractic

Locations

115 E Lancaster Rd
Ste B
Orlando, FL 32809
Phone (407) 751-0025

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1811310345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LANCASTER RD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096689",
            "telephone_number": "407-888-8411",
            "fax_number": "407-888-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LANCASTER RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32809",
            "telephone_number": "407-888-8411",
            "fax_number": "407-888-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CARE CHIROPRACTIC & FAMILY PRACTICE CENTER INC",
        "enumeration_date": "2014-02-04",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "SUZY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE ADMINSTRATOR",
        "authorized_official_telephone_number": "407-888-8411",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0061J",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010553900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Care Chiropractic & Family Practice Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 10, 2018; 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.