NPIMap

Organization Active NPI

Medstation Dr Phillips LLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1922766823
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDSTATION DR PHILLIPS LLC
Practice address
8972 Turkey Lake Rd # A700
Orlando, FL 32819-7377
Phone
(407) 530-8744
Fax
(407) 210-5616
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Sarah Barros Andrade, CEO
Title
Manager
Phone
(407) 530-8744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8972 Turkey Lake Rd # A700
Orlando, FL 32819-7377

Mailing address

8972 Turkey Lake Rd # A700
Orlando, FL 32819-7377
Phone (407) 530-8744

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drphillipsmedstation@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

8972 Turkey Lake Rd
#A700
Orlando, FL 32819
Phone (407) 530-8744

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1922766823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8972 TURKEY LAKE RD # A700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197377",
            "telephone_number": "407-530-8744",
            "fax_number": "407-210-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8972 TURKEY LAKE RD # A700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197377",
            "telephone_number": "407-530-8744",
            "fax_number": "407-210-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTATION DR PHILLIPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BARROS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-530-8744",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drphillipsmedstation@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8972 Turkey Lake Rd # A700",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328197377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 8, 2021; 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.