Organization Active NPI

Mid-Florida Rheumatology LLC

  • Rheumatology Physician
  • Orlando, FL
National Provider Identifier
1972069946
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MID-FLORIDA RHEUMATOLOGY LLC
Practice address
1743 Park Center Dr Ste 400
Orlando, FL 32835-7621
Phone
(386) 668-4202
Fax
(386) 668-4207
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Kwabena Ayesu, MDNPI 1225019284
Title
MD
Phone
(386) 668-4202

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1743 Park Center Dr Ste 400
Orlando, FL 32835-7621

Mailing address

1743 Park Center Dr Ste 400
Orlando, FL 32835-7621
Phone (386) 668-4202

National Provider Directory

National Provider Directory

Locations

1743 Park Center Dr
Ste 400
Orlando, FL 32835
Phone (386) 668-4202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1972069946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 PARK CENTER DR STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357621",
            "telephone_number": "386-668-4202",
            "fax_number": "386-668-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 PARK CENTER DR STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357621",
            "telephone_number": "386-668-4202",
            "fax_number": "386-668-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "AYESU",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "386-668-4202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.