Organization Active NPI

Managed Healthcare Experts

  • Geriatric Medicine (Internal Medicine) Physician
  • Orlando, FL
National Provider Identifier
1861115958
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
MANAGED HEALTHCARE EXPERTS
Practice address
4804 Edgewater Dr Ste a
Orlando, FL 32804-1126
Phone
(321) 330-9330
Fax
(321) 697-7000
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Tom Harris
Title
Administrator
Phone
(321) 330-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

4804 Edgewater Dr Ste a
Orlando, FL 32804-1126

Mailing address

4804 Edgewater Dr Ste a
Orlando, FL 32804-1126
Phone (321) 330-9330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1861115958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "321-330-9330",
            "fax_number": "321-697-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "321-330-9330",
            "fax_number": "321-697-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED HEALTHCARE EXPERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-330-9330"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric 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 Sep 22, 2022; 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.