Mid Florida Rheumatology and Arthritis Center LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MID FLORIDA RHEUMATOLOGY AND ARTHRITIS CENTER LLC

Practice address

1403 Medical Plaza Dr Ste 207
Sanford, FL 32771-1047

Phone

(321) 364-0728

Fax

(321) 364-0729

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MID FLORIDA RHEUMATOLOGY AND ARTHRITIS CENTER LLCAs reported in NPPES

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

Authorized official

Name

Magaly Villafradez-Diaz, MDNPI 1053575050

Title

Owner

Phone

(321) 364-0728

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Mid Florida Rheumatology and Arthritis Center LLC

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.

• Magaly Villafradez-Diaz, M.D.

  • Rheumatology Physician
  • Orlando, FL
  • NPI 1053575050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1932822566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR STE 207",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711047",
            "telephone_number": "321-364-0728",
            "fax_number": "321-364-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR STE 207",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711047",
            "telephone_number": "321-364-0728",
            "fax_number": "321-364-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA RHEUMATOLOGY AND ARTHRITIS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID FLORIDA RHEUMATOLOGY AND ARTHRITIS CENTER LLC",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "VILLAFRADEZ-DIAZ",
        "authorized_official_first_name": "MAGALY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-364-0728",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Medora Merrick, BS
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• Mid Florida OB-GYN Specialists
• Mid Florida Physicians Inc
• Mid-Florida Dermatology Associates
• Mid-Florida Gastroenterology Group P a
• Mid-Florida Group of Specialists LLC
• Midway Premier Dental, LLC
• Michele Selon Miles, OTR

• Rheumatology Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.