Organization Active NPI

Surgimed of Orlando LLC

  • Surgery Physician
  • Altamonte Springs, FL
National Provider Identifier
1902223696
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME111455 Issued in FL
Legal business name
SURGIMED OF ORLANDO LLC
Practice address
631 Palm Springs Dr Ste 104
Altamonte Springs, FL 32701-7854
Phone
(407) 966-3355
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Dr. Afaq Zaman Khan, M.D.
Title
President
Phone
(407) 966-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME111455 FL Primary

Addresses

Primary practice location

631 Palm Springs Dr Ste 104
Altamonte Springs, FL 32701-7854

Mailing address

PO Box 149735
Orlando, FL 32814-9735
Phone (407) 966-3355

National Provider Directory

National Provider Directory

Locations

631 Palm Springs Dr
Altamonte Springs, FL 32701
Phone (407) 966-3355

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1902223696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149735",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328149735",
            "telephone_number": "407-966-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PALM SPRINGS DR STE 104",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017854",
            "telephone_number": "407-966-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGIMED OF ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AFAQ",
        "authorized_official_middle_name": "ZAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-966-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME111455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.