NPIMap

Organization Active NPI

Obt Family Medical Clinic

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1841663010
Registry record updated Dec 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OBT FAMILY MEDICAL CLINIC
Practice address
9480 S Orange Blossom TRL
Orlando, FL 32837-8321
Phone
(407) 230-2108
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2015

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

Authorized official

Name
Carlesa Pierre
Title
Owner
Phone
(407) 230-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9480 S Orange Blossom TRL
Orlando, FL 32837-8321

Mailing address

10450 Turkey Lake Rd
Unit 691483
Orlando, FL 32869-7501
Phone (407) 230-2108

National Provider Directory

National Provider Directory

Locations

10450 Turkey Lake Rd
Unit 691483
Orlando, FL 32869
Phone (407) 230-2108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449964800000",
    "number": "1841663010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 TURKEY LAKE RD",
            "address_2": "UNIT 691483",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328697501",
            "telephone_number": "407-230-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378321",
            "telephone_number": "407-230-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBT FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-12-13",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "CARLESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-230-2108"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Dec 13, 2015; 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.