NPIMap

Organization Active NPI

Sigma Medical Group, LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1831627579
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SIGMA MEDICAL GROUP, LLC
Practice address
10437 Moss Park Rd
Orlando, FL 32832-5812
Phone
(407) 802-1100
Fax
(407) 802-1111
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Annette Lorenz
Title
Contracting Manager
Phone
(321) 732-8491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10437 Moss Park Rd
Orlando, FL 32832-5812

Mailing address

609 N Charles Richard Beall Blvd
Debary, FL 32713-2260

Other practice location 1

222 Broadway Unit 202
Kissimmee, FL 34741-5760
Phone (407) 988-1460

National Provider Directory

National Provider Directory

Locations

609 N Charles Richard Beall Blvd
Debary, FL 32713
Phone (386) 337-3525

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1831627579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N CHARLES RICHARD BEALL BLVD",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 MOSS PARK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325812",
            "telephone_number": "407-802-1100",
            "fax_number": "407-802-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Broadway Unit 202",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347415760",
            "country_code": "US",
            "telephone_number": "407-988-1460",
            "fax_number": "407-988-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGMA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "321-732-8491"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 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.