Active NPI
John Carmen Pellosie Jr., D.O., M.P.H., FAOCOP
- Public Health & General Preventive Medicine Physician
- Eustis, FL
National Provider Identifier
1861467698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- OS 4246
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OS 4246 | FL | MD | Public 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.