Active NPI
Prixus Medical Group LLC
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1881065324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME116549
- Legal business name
- PRIXUS MEDICAL GROUP LLC
- Practice address
- 8624 Lee Vista Blvd
Orlando, FL 32829-8383 - Phone
- (787) 671-0051
- NPI assigned
- Oct 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raphael Bones
- Title
- President
- Phone
- (407) 720-3209
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME116549 | FL | Primary |
Addresses
Primary practice location
8624 Lee Vista Blvd
Orlando, FL 32829-8383
Mailing address
12092 Jewel Fish LN
Orlando, FL 32827-7141
Other names 1
- Prixus Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8624 Lee Vista Blvd
Ste 2
Orlando, FL 32829
Phone (407) 572-7300
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1881065324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12092 JEWEL FISH LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8624 LEE VISTA BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328298383",
"telephone_number": "787-671-0051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIXUS MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-09",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "BONES",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-720-3209",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME116549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prixus Medical",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.