Organization Active NPI

Central Florida Pulmonary Consultants

  • Pulmonary Disease Physician
  • Orange City, FL
National Provider Identifier
1992899017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME79674 Issued in FL
Legal business name
CENTRAL FLORIDA PULMONARY CONSULTANTS
Practice address
759 Harley Strickland Blvd
Orange City, FL 32763-7954
Phone
(386) 456-0300
Fax
(386) 456-0303
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christine Cardona
Title
Insurance
Phone
(386) 456-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME79674 FL Primary

Addresses

Primary practice location

759 Harley Strickland Blvd
Orange City, FL 32763-7954

Mailing address

PO Box 850001
Orlando, FL 32885-0170
Phone (386) 456-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000155 FL Part B Supplier - Clinic/Group Practice 3870489479 Receives reassigned benefits from 3 practitioners
Practice locations: Lake Mary, FL; Orange City, FL

National Provider Directory

National Provider Directory

Locations

759 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

Practitioners & affiliated clinicians

Practitioners 4

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992899017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850170",
            "telephone_number": "386-456-0300",
            "fax_number": "386-456-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 HARLEY STRICKLAND BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637954",
            "telephone_number": "386-456-0300",
            "fax_number": "386-456-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PULMONARY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "386-456-0300"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME79674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.