Medical Associates of Central Florida Physicians, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL ASSOCIATES OF CENTRAL FLORIDA PHYSICIANS, LLC

Practice address

31810 Hwy 27
Haines City, FL 33844-7617

Phone

(863) 877-2411

NPI assigned

Aug 20, 2021

Organization subpart

Yes

Parent organization

MEDICAL ASSOCIATES OF CENTRAL FLORIDA PHYSICIANS, LLCAs reported in NPPES

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

Authorized official

Name

Dwight Perez

Title

Credentialing Specialist

Phone

(305) 733-5713

Specialties & licenses 1

Addresses

Tax ID family

Medical Associates of Central Florida Physicians LLC2 organizations share this tax ID, including this one

Part of

Medical Associates of Central Florida Physicians LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Associates of Central Florida Physicians, LLC

  • Internal Medicine Physician
  • Lake Wales, FL
  • NPI 1700552080
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical Associates of Central Florida Physicians, LLC

  • Internal Medicine Physician
  • Lake Wales, FL
  • NPI 1700552080
  NPPES parent name

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1982370714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31810 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447617",
            "telephone_number": "863-877-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31810 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447617",
            "telephone_number": "863-877-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF CENTRAL FLORIDA PHYSICIANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF CENTRAL FLORIDA PHYSICIANS, LLC",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "305-733-5713"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Diagnostic Imaging, LLC
• Marilyn Maya
• John McCants
• Carolyn Raye McCullough, COTA
• Medical Associates of Central Florida
• Medical Consultants of Florida LLC
• Medical Consultants of Florida, LLC
• Belinda Medina Rivera, MSPHL
• Medwins Pharmacy Inc
• Megamo Enterprise LLC

• Internal Medicine Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.