Mi Doctor LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MI DOCTOR LLC

Doing business as

Mi Doctor

Practice address

4611 Cumbrian Lakes Dr
Kissimmee, FL 34746-6717

Phone

(682) 718-9683

NPI assigned

Nov 29, 2017

Last updated

Nov 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hector Valladares, PA-CNPI 1801049069

Title

Physician Assistant.

Phone

(682) 718-9683

Specialties & licenses 1

Addresses

Other names 1

• MI DOCTOR Doing business as

Practitioners 1

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.

• Hector Valladares, P.A.-C

  • Physician Assistant
  • Kissimmee, FL
  • NPI 1801049069
  NPD Authorized official

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1932613882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 CUMBRIAN LAKES DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 CUMBRIAN LAKES DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466717",
            "telephone_number": "682-718-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT.",
        "authorized_official_telephone_number": "682-718-9683",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI DOCTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikita Meyer, DMD
• Gabriella Mia Meyerson, DO
• Thomas Joseph Mezzanotte, MD
• MFM of Central Florida
• MG Medicine, LLC.
• Michael Eric Tom DC, P.a. (Kissimmee Chiropractic Physicians Group)
• Michael Physical Therapy
• Sandy Michael, MA
• Hannah Levaine Michaelis, BA, SLP-A
• Kervin Michaud, DDS

• Family Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.