ALAFAYA WOODS FAMILY MEDICAL CENTER P A


Address: 110 Alafaya Woods Blvd, Oviedo, FL 32765-6241
Phone: 4073663577

ALAFAYA WOODS FAMILY MEDICAL CENTER P A (NPI# 1972644631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972644631
Entity Type Organization
Organization Name ALAFAYA WOODS FAMILY MEDICAL CENTER P A
Practice Address 110 Alafaya Woods Blvd
Oviedo
FL 32765-6241
Practice Telephone 4073663577
Practice Fax Number 4073662646
Mailing Telephone 4073663577
Mailing Fax Number 4073662646
Enumeration Date 2007-02-08
Last Update Date 2010-01-05
Authorized Official Name DR. JEFFRY F ROCKER (FAMILY PHYSICIAN)
Authorized Official Telephone 4073663577
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics 0S0005703 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE RAILROAD CK9014 01

Office Location

Street Address 110 ALAFAYA WOODS BLVD
City OVIEDO
State FL
Zip Code 32765-6241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013997683 Jeffry F Rocker Family Medicine 110 Alafaya Woods Blvd, Suite A, Oviedo, FL 32765-6241 2006-01-19
1124545215 Lindsey Love Gilson Nurse Practitioner 110 Alafaya Woods Blvd, Oviedo, FL 32765-4000 2017-08-29

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Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

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1952506412 Elvis Lazaro Ferrera Medical Genetics, Ph.D. Medical Genetics 1506 E 4th Ave, Hialeah, FL 33010-3159 2007-06-15
1962625178 Miami Springs Health Center Inc Medical Genetics, Ph.D. Medical Genetics 3968 Curtiss Pkwy, Virginia Gardens, FL 33166-7108 2007-04-10
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Competitor

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City OVIEDO
Zip Code 32765

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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