Dr G Family - Medical and Wellness Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DR G FAMILY - MEDICAL AND WELLNESS CENTER LLC

Practice address

14522 Landstar Blvd Ste 103
Orlando, FL 32824-6450

Phone

(497) 930-8001

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Adamar Gonzalez, MD

Title

Owner

Phone

(407) 930-8001

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1932810546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14522 LANDSTAR BLVD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328246450",
            "telephone_number": "497-930-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14522 LANDSTAR BLVD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328246450",
            "telephone_number": "497-930-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR G FAMILY - MEDICAL AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-09-29",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-930-8001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.