Organization Active NPI

MFM of Central Florida

  • Maternal & Fetal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1952821217
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME130015 Issued in FL
Legal business name
MFM OF CENTRAL FLORIDA
Practice address
407 N Main St
Kissimmee, FL 34744-5260
Phone
(407) 279-5909
Fax
(407) 279-5910
NPI assigned
Jun 27, 2017
Last updated
Jun 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Authorized official

Name
Liz Rodriguez
Title
Office Manager
Phone
(407) 518-1074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X ME130015 FL Primary

Addresses

Primary practice location

407 N Main St
Kissimmee, FL 34744-5260

Mailing address

1160 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 518-1074

Other identifiers 1

IdentifierTypeStateIssuer
020213700MedicaidFL

National Provider Directory

National Provider Directory

Locations

407 N Main St
Kissimmee, FL 34744
Phone (321) 250-9885

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1952821217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-518-1074",
            "fax_number": "407-518-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445260",
            "telephone_number": "407-279-5909",
            "fax_number": "407-279-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFM OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-518-1074"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME130015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020213700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.