Organization Active NPI

Medicenter of Orlando Inc.

  • Surgery Physician
  • Orlando, FL
National Provider Identifier
1972735777
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME25826 Issued in FL
Legal business name
MEDICENTER OF ORLANDO INC.
Practice address
9430 Turkey Lake Rd
Suite 112
Orlando, FL 32819-8015
Phone
(407) 847-9006
Fax
(407) 847-2985
NPI assigned
Aug 13, 2009
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Carmen N Padin
Title
Office Manager
Phone
(407) 847-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME25826 FL Primary

Addresses

Primary practice location

9430 Turkey Lake Rd
Suite 112
Orlando, FL 32819-8015

Mailing address

1310 N Main St
Suite 103
Kissimmee, FL 34744-4244
Phone (407) 847-9006

National Provider Directory

National Provider Directory

Locations

1310 N Main St
Ste 103
Kissimmee, FL 34744

11268 S Apopka Vineland Rd
Orlando, FL 32836
Phone (407) 465-1993

9430 Turkey Lake Rd
Ste 112
Orlando, FL 32819
Phone (407) 351-8594

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1972735777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST",
            "address_2": "SUITE 103",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444244",
            "telephone_number": "407-847-9006",
            "fax_number": "407-847-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 TURKEY LAKE RD",
            "address_2": "SUITE 112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198015",
            "telephone_number": "407-847-9006",
            "fax_number": "407-847-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICENTER OF ORLANDO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "PADIN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-847-9006"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME25826",
            "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 Aug 13, 2009; 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.