Individual provider Active NPI

Michael Lo, ARNP

  • Gerontology Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1902259310
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN9377668 Issued in FL
Practice address
2400 N Orange Ave Ste 302
Orlando, FL 32804
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9377668 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9377668 FL
Gerontology Nurse Practitioner 363LG0600X APRN9377668 FL Primary

Addresses

Primary practice location

2400 N Orange Ave Ste 302
Orlando, FL 32804

Mailing address

2400 N Orange Ave Ste 302
Orlando, FL 32804-5513
Phone (407) 932-6193

Other practice location 1

4710 S Florida Ave
Lakeland, FL 33813-2165
Phone (863) 284-5000

Other practice location 2

2815 Lakeland Hills Blvd
Lakeland, FL 33805-2224
Phone (863) 284-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161112000232 FL Practitioner - Nurse Practitioner 1355620444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

2400 N Orange Blossom TRL
Suite 302
Kissimmee, FL 34744-2308
Phone (407) 932-6193

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9377668FLMDGerontology Nurse Practitioner
ARNP9377668FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Mar 4, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 24, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 24, 2019 Accepting new patients
Virtual Inpatient Psychiatry Physicians Behavioral Network LLC CurrentSince Feb 1, 2023 Accepting new patients
Lakeland Regional Health Systems, Inc. Past Accepting new patients

Locations

2400 N Orange Blossom Trl
Ste 302
Kissimmee, FL 34744
Phone (407) 932-6193

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

425 W Colonial Dr
Ste 302
Orlando, FL 32804
Phone (330) 414-9233

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mlo68063@adventhealth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1902259310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE AVE STE 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045513",
            "telephone_number": "407-932-6193",
            "fax_number": "407-932-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE AVE STE 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132165",
            "country_code": "US",
            "telephone_number": "863-284-5000",
            "fax_number": "863-413-5807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2815 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052224",
            "country_code": "US",
            "telephone_number": "863-284-5000",
            "fax_number": "863-284-6904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "MICHAEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9377668",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9377668",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9377668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.