NPIMap

Organization Active NPI

Central Florida Primary Physicians

  • Family Medicine Physician
  • Deltona, FL
National Provider Identifier
1962714790
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME96936 Issued in FL
Legal business name
CENTRAL FLORIDA PRIMARY PHYSICIANS
Practice address
1555 Saxon Blvd
Ste 301
Deltona, FL 32725-5861
Phone
(386) 574-1423
Fax
(386) 860-9239
NPI assigned
Jul 9, 2010
Last updated
Oct 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Dr. Andres F Velasco, MDNPI 1942351861
Title
Owner
Phone
(386) 574-1423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME96936 FL Primary

Addresses

Primary practice location

1555 Saxon Blvd
Ste 301
Deltona, FL 32725-5861

Mailing address

7901 Kingspointe Pkwy
Ste 1
Orlando, FL 32819-6520
Phone (407) 345-8894

National Provider Directory

National Provider Directory

Locations

1555 Saxon Blvd
Ste 301
Deltona, FL 32725
Phone (386) 574-1423

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1962714790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 KINGSPOINTE PKWY",
            "address_2": "STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328196520",
            "telephone_number": "407-345-8894",
            "fax_number": "407-345-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SAXON BLVD",
            "address_2": "STE 301",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255861",
            "telephone_number": "386-574-1423",
            "fax_number": "386-860-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PRIMARY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-574-1423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.