Individual provider Active NPI

John Carmen Pellosie Jr., D.O., M.P.H., FAOCOP

  • Public Health & General Preventive Medicine Physician
  • Eustis, FL
National Provider Identifier
1861467698
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
OS 4246 Issued in FL
Practice address
16140 US Highway 441
Eustis, FL 32726-6508
Phone
(352) 589-6424
Fax
(352) 589-1325
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X OS 4246 FL Primary

Addresses

Primary practice location

16140 US Highway 441
Eustis, FL 32726-6508

Mailing address

408 Magnolia Ending
Mount Dora, FL 32757-9001
Phone (352) 385-2651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 4246FLMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861467698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MAGNOLIA ENDING",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579001",
            "telephone_number": "352-385-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16140 US HIGHWAY 441",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266508",
            "telephone_number": "352-589-6424",
            "fax_number": "352-589-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLOSIE",
        "first_name": "JOHN",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O., M.P.H., FAOCOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "OS 4246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.