1316977259 NPI number — APOPKA MEDICAL GROUP PA

Table of content: (NPI 1316977259)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316977259 NPI number — APOPKA MEDICAL GROUP PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APOPKA MEDICAL GROUP PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
APOPKA MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316977259
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1107
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APOPKA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32704-1107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-886-1171
Provider Business Mailing Address Fax Number:
407-886-8386

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
125 S PARK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APOPKA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32703-4254
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-886-1171
Provider Business Practice Location Address Fax Number:
407-886-8386
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BEHNER
Authorized Official First Name:
INGRID
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
407-886-1171

Provider Taxonomy Codes

  • Taxonomy code: 173000000X , with the licence number:  ME0055219 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 037621300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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