Organization Active NPI

University Family Medicine Center PA

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1861672479
Registry record updated Jul 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY FAMILY MEDICINE CENTER PA
Practice address
10055 University Blvd
Orlando, FL 32817-1902
Phone
(407) 679-4800
Fax
(407) 679-0574
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2010

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

Authorized official

Name
Dr. Ronald R. Burns, D.O.NPI 1457453391
Title
President
Phone
(407) 679-4800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X FL Primary

Addresses

Primary practice location

10055 University Blvd
Orlando, FL 32817-1902

Mailing address

10055 University Blvd
Orlando, FL 32817-1902
Phone (407) 679-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000760 FL Part B Supplier - Clinic/Group Practice 6406988096 Receives reassigned benefits from 4 practitioners
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0876642University Family Medicine Center PA10055 University Blvd, Orlando, FL 32817Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Locations

10055 University Blvd
Orlando, FL 32817
Phone (407) 679-4800

Practitioners & affiliated clinicians

Practitioners 7

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": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279411200000",
    "number": "1861672479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 UNIVERSITY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171902",
            "telephone_number": "407-679-4800",
            "fax_number": "407-679-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 UNIVERSITY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171902",
            "telephone_number": "407-679-4800",
            "fax_number": "407-679-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY FAMILY MEDICINE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2010-07-18",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-679-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "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 Jul 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.