NPIMap

Organization Active NPI

National Medical Affiliates Inc

  • Internal Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1811984529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NATIONAL MEDICAL AFFILIATES INC
Practice address
517 Tamiami TRL
Suite C
Punta Gorda, FL 33950-5520
Phone
(941) 575-9845
Fax
(941) 575-9805
NPI assigned
Sep 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Blanca Valladares
Title
Ceo
Phone
(941) 575-9845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

517 Tamiami TRL
Suite C
Punta Gorda, FL 33950-5520

Mailing address

517 Tamiami TRL
Suite C
Punta Gorda, FL 33950-5520
Phone (941) 575-9845

National Provider Directory

National Provider Directory

Locations

517 Tamiami Trl
Ste C
Punta Gorda, FL 33950
Phone (941) 575-9845

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811984529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 TAMIAMI TRL",
            "address_2": "SUITE C",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505520",
            "telephone_number": "941-575-9845",
            "fax_number": "941-575-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 TAMIAMI TRL",
            "address_2": "SUITE C",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505520",
            "telephone_number": "941-575-9845",
            "fax_number": "941-575-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL AFFILIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-575-9845"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.