Organization Active NPI

Mid Florida Autism Center

  • Behavior Analyst
  • Oviedo, FL
National Provider Identifier
1982357992
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MID FLORIDA AUTISM CENTER
Practice address
25 Windsormere Way Ste 101301
Oviedo, FL 32765-6509
Phone
(407) 299-7333
Fax
(407) 293-2049
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Michael Gutierrez, M.D.
Title
Part Owner
Phone
(407) 299-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

25 Windsormere Way Ste 101301
Oviedo, FL 32765-6509

Mailing address

7652 Ashley Park CT Ste 306
Orlando, FL 32835-6199
Phone (407) 299-7333

National Provider Directory

National Provider Directory

Locations

7652 Ashley Park Ct
Ste 306
Orlando, FL 32835

25 Windsormere Way
Ste 101301
Oviedo, FL 32765

Practitioners & affiliated clinicians

Practitioners 5

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1982357992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT STE 306",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WINDSORMERE WAY STE 101301",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656509",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "407-299-7333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.