Central Florida Physician Network LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CENTRAL FLORIDA PHYSICIAN NETWORK LLC

Practice address

8400 Red Bug Lake Rd Ste 1040
Oviedo, FL 32765-6835

Phone

(407) 890-3020

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL FLORIDA PHYSICIAN NETWORK LLCAs reported in NPPES

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

Authorized official

Name

William Tedrick Johnson

Title

Vice President

Phone

(615) 372-3375

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Central Florida Physician Network LLC2 organizations share this tax ID, including this one

Part of

Central Florida Physician Network LLC

Other organizations with this tax ID 1

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

• Central Florida Physician Network LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sanford, FL
  • NPI 1497328645
  NPD tax ID

Locations

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.

• Central Florida Physician Network LLC

  • Urology Physician
  • Sanford, FL
  • NPI 1932375193
  NPPES parent name

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1982373718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-372-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 RED BUG LAKE RD STE 1040",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656835",
            "telephone_number": "407-890-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PHYSICIAN NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FLORIDA PHYSICIAN NETWORK LLC",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centers for Pain and Rehabilitation
• Centerwell Senior Primary Care (FL) Inc. (CenterWell Senior Primary Care of Oviedo)
• Central FL Reg Obstetrics and Gynecology, LLC
• Central Florida Eyes
• Central Florida Ophthalmology PLLC
• Central Medical Systems LLC
• Nichole Lyndsay Cerna, M.S., BCBA
• George N. Cernansky Jr., ATCL
• Certified Rehabilitation Center of Florida, Inc.
• Jyothi Rani Chada, PHARM D

• Urology Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.