Pelican Beach Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PELICAN BEACH INC

Practice address

4382 LB McLeod Rd
Orlando, FL 32811

Phone

(407) 648-0076

Fax

(407) 648-3666

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Vilmary Vazquez, NCMA

Title

Healthcare Administrator

Phone

(407) 648-0076

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 33rd Street Family Medical Center Doing business as

Locations

Practitioners 1

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

• Arlene Mary Palazzolo, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1295833564
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1871503797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4382 LB MCLEOD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32811",
            "telephone_number": "407-648-0076",
            "fax_number": "407-648-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4382 LB MCLEOD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32811",
            "telephone_number": "407-648-0076",
            "fax_number": "407-648-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN BEACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "VILMARY",
        "authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-648-0076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCMA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DB888A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "33rd Street Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priscila E Pelaez, MSW
• Ganga Pelayo, RDH
• Chandler Pelfrey, BCBA
• Pelham Medical Practice & Aesthetic Lounge, LLC.
• Rachel Pelham-Jones, MSW INTERN
• Esther Luc Pelissier, APRN
• Carlos Manuel Pellecier III
• Mario Emilio Pelletier, M.D.
• Christena Lynn Pellett, D.O.
• Yaima De la Caridad Pellon

• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.