Medicine Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME104818 Issued in FL

Legal business name

MEDICINE GROUP INC

Doing business as

The Medicine Group INC

Practice address

8803 Futures Dr
7A
Orlando, FL 32819-9076

Phone

(407) 480-2270

Fax

(407) 480-3455

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Robert Diaz, M.D.

Title

President

Phone

(407) 480-2270

Specialties & licenses 1

Addresses

Other names 1

• The Medicine Group INC Doing business as

Locations

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1831466911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 FUTURES DRIVE",
            "address_2": "7A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-480-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 FUTURES DR",
            "address_2": "7A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199076",
            "telephone_number": "407-480-2270",
            "fax_number": "407-480-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-480-2270",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Group INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Juan Manuel Medina Betancourt
• Melissa Del Mar Medina Colina

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

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