Organization Active NPI

Family Advocate, Inc

  • Counselor
  • Orlando, FL
National Provider Identifier
1922402411
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FAMILY ADVOCATE, INC
Practice address
2601 Technology Dr
Orlando, FL 32804-8003
Phone
(407) 308-1633
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Dominique Mathurin
Title
Owner/Supervisor
Phone
(407) 403-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2601 Technology Dr
Orlando, FL 32804-8003

Mailing address

2601 Technology Dr
Orlando, FL 32804-8003
Phone (407) 308-1633

National Provider Directory

National Provider Directory

Locations

2601 Technology Dr
Orlando, FL 32804
Phone (407) 308-1633

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1922402411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 TECHNOLOGY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328048003",
            "telephone_number": "407-308-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TECHNOLOGY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328048003",
            "telephone_number": "407-308-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADVOCATE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "MATHURIN",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "407-403-8145"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "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 Oct 14, 2014; 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.