Physical Medicine Group LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME 49756 Issued in FL

Legal business name

PHYSICAL MEDICINE GROUP LLC

Doing business as

Injury Midflorida Rehab

Practice address

1339 W Colonial Dr
Orlando, FL 32804

Phone

(407) 420-2199

Fax

(407) 420-4599

NPI assigned

Jul 3, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mladen Antolic, MD

Title

Medical Director

Phone

(407) 420-2199

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• INJURY MIDFLORIDA REHAB Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Chiudye

  • Acupuncturist
  • Lake Worth, FL
  • NPI 1033247887
  NPD (past)
• Maria Cristina Hoyos

  • Massage Therapist
  • Orlando, FL
  • NPI 1578699559
  NPD (past)
• Miguel Merhab, LMT

  • Massage Therapist
  • Orlando, FL
  • NPI 1578755278
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1902004732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-420-2199",
            "fax_number": "407-420-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-420-2199",
            "fax_number": "407-420-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ANTOLIC",
        "authorized_official_first_name": "MLADEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-420-2199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME 49756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "77164",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INJURY MIDFLORIDA REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mai Thi Truc Phung, MD
• Tran C. Phung, M.D.
• Phuoc H Pham MD
• Physiatric Pain & Medical Rehabilitation Clinic PA
• Physical Feats, LLC
• Physical Therapy of Central Florida LLC (FYZICAL Therapy and Balance Centers)
• Physical Therapy Specialists of Hunters Creek, LLC
• Physical Therapy Specialists of Pine Castle LLC
• Physician Associates LLC
• Physician Associates LLC

• Physical Medicine & Rehabilitation Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.