Orlando Cosmetic Surgery LLC Dba Altiora Plastic Surgery & Med Spa

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME0065746 Issued in FL

Legal business name

ORLANDO COSMETIC SURGERY LLC DBA ALTIORA PLASTIC SURGERY & MED SPA

Practice address

2501 N Orange Ave
Suite 209
Orlando, FL 32804-4603

Phone

(407) 681-3223

Fax

(407) 681-0976

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Orlando Joseph Cicilioni Jr., M.D.NPI 1992736565

Title

Senior Physician

Phone

(941) 388-1110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orlando Joseph Cicilioni Jr., M.D.

  • Plastic Surgery Physician
  • Orlando, FL
  • NPI 1992736565
  Medicare reassignment NPD Authorized official
• Brandy Michelle Simmons, ATC, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1336459262
  Medicare reassignment

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1912938598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8670",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "34228",
            "telephone_number": "941-388-1110",
            "fax_number": "941-388-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE",
            "address_2": "SUITE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044603",
            "telephone_number": "407-681-3223",
            "fax_number": "407-681-0976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 John Ringling Blvd Ste K2",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342361427",
            "country_code": "US",
            "telephone_number": "941-388-1110",
            "fax_number": "941-388-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORLANDO COSMETIC SURGERY LLC DBA ALTIORA PLASTIC SURGERY & MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CICILIONI",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SENIOR PHYSICIAN",
        "authorized_official_telephone_number": "941-388-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0065746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Caregivers, LLC
• Orlando Central Fill Inc.
• Orlando Children'S Therapy
• Orlando Childrens Surgery Center LLC
• Orlando Chiropractic and Physical Rehab, LLC
• Orlando Counseling and Behavioral Services, LLC
• Orlando Counseling Service
• Orlando Counseling Service
• Orlando Dental Associates
• Orlando Dental Center PA

• Medical Specialty Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.