NPIMap

Organization Active NPI

Oviedo Medical Clinic, LLC

Doing business as Synergy Family Health

  • Chiropractor
  • Oviedo, FL
National Provider Identifier
1841536703
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8042 Issued in FL
Legal business name
OVIEDO MEDICAL CLINIC, LLC
Doing business as
Synergy Family Health
Practice address
1791 E Broadway St
Oviedo, FL 32765-9744
Phone
(407) 359-2757
Fax
(407) 359-7464
NPI assigned
Dec 21, 2012
Last updated
Dec 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Dr. Eric Janowitz, DCNPI 1457400111
Title
President/Owner
Phone
(407) 359-2757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 1518717 FL
Chiropractor 111N00000X CH10002 FL
Chiropractor 111N00000X CH8042 FL Primary
Family Medicine Physician 207Q00000X ME 102682 FL

Addresses

Primary practice location

1791 E Broadway St
Oviedo, FL 32765-9744

Mailing address

1791 E Broadway St
Oviedo, FL 32765-9744
Phone (407) 359-2757

Other names 1

  • Synergy Family Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121120000408 FL Part B Supplier - Clinic/Group Practice 7113178229 Receives reassigned benefits from 6 practitioners
Practice locations: Oviedo, FL

National Provider Directory

National Provider Directory

Locations

1791 E Broadway St
Oviedo, FL 32765
Phone (407) 359-2757

Practitioners & affiliated clinicians

Practitioners 8

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": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1841536703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 E BROADWAY ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659744",
            "telephone_number": "407-359-2757",
            "fax_number": "407-359-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 E BROADWAY ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659744",
            "telephone_number": "407-359-2757",
            "fax_number": "407-359-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "JANOWITZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-359-2757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 1518717",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10002",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8042",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 102682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.