Mid Florida Medical and Chiropractic Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MID FLORIDA MEDICAL AND CHIROPRACTIC CENTER LLC

Practice address

100 Park Place Blvd
Suite 201
Kissimmee, FL 34741-2372

Phone

(407) 847-8900

NPI assigned

Dec 13, 2009

Organization subpart

No

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

Authorized official

Name

Rachael Gallo

Title

Owner

Phone

(407) 566-0177

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1831428309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PLACE BLVD",
            "address_2": "SUITE 201",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PLACE BLVD",
            "address_2": "SUITE 201",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412372",
            "telephone_number": "407-847-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA MEDICAL AND CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-13",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-566-0177"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Alain Michaud, MD
• Michelle Rene Condry
• Victoria Tirado Michiel, PA-C
• Mid Florida Counseling, LLC
• Mid Florida Dental
• Mid Florida Medical Specialist
• Mid Florida Woman'S Center, Inc.
• Mike Arsov MD PA
• Rebecca Abigail Miknaitis, D.O.
• Kimberly Milan

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.