Organization Active NPI

Centaur Medical Center PLLC

  • Infectious Disease Physician
  • Orlando, FL
National Provider Identifier
1912685413
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
CENTAUR MEDICAL CENTER PLLC
Practice address
100 W Gore St Ste 605
Orlando, FL 32806-1051
Phone
(407) 271-4731
Fax
(407) 271-4738
NPI assigned
Jul 6, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Akshay Manohar, MDNPI 1124314703
Title
Owner
Phone
(407) 271-4731

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

100 W Gore St Ste 605
Orlando, FL 32806-1051

Mailing address

100 W Gore St Ste 605
Orlando, FL 32806-1051
Phone (407) 271-4731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231109001343 FL Part B Supplier - Clinic/Group Practice 1355798547 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

100 W Gore St
Ste 605
Orlando, FL 32806
Phone (407) 271-4731

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1912685413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 605",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061051",
            "telephone_number": "407-271-4731",
            "fax_number": "407-271-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 605",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061051",
            "telephone_number": "407-271-4731",
            "fax_number": "407-271-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTAUR MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "MANOHAR",
        "authorized_official_first_name": "AKSHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-271-4731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 6, 2023; 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.

Verify at the official NPI Registry.