THE FAMILY PHYSICIAN OF BVL
NPI 1336356492
Legal Medicine in Kissimmee, FL

NPI Status: Active since May 17, 2007

Contact Information

3071 MICHIGAN AVE
KISSIMMEE, FL
ZIP 34744
Phone: (407) 348-9111
Fax: (407) 348-9112

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  • Organization
  • Legal Medicine

About THE FAMILY PHYSICIAN OF BVL

This page provides the complete NPI Profile along with additional information for The Family Physician Of Bvl, a provider established in Kissimmee, Florida operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1336356492 assigned on May 2007. The practitioner's primary taxonomy code is 173000000X with license number ME62672 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Fausto Ronald Burgos Md (Physican)

NPI
1336356492
Provider Name
THE FAMILY PHYSICIAN OF BVL
Entity Type
Organization
Location Address
3071 MICHIGAN AVE KISSIMMEE, FL 34744
Location Phone
(407) 348-9111
Location Fax
(407) 348-9112
Mailing Address
3071 MICHIGAN AVE KISSIMMEE, FL 34744
Mailing Phone
(407) 348-9111
Mailing Fax
(407) 348-9112
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
04-27-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
ME62672
License State
FL
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FAUSTO RONALD BURGOS MD

Authorized Official Title
PHYSICAN
Authorized Official Phone
(407) 348-9111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F46753MEDICARE UPIN (02)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336356492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23666512418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 5 + 1 + 2 + 4 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1336356492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669771531MISS REBECA DEL RIO ARCE ARNP
Individual
Nurse Practitioner (Family)3071 MICHIGAN AVE
KISSIMMEE, FL 34744
(407) 348-9111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336356492, enumerated in the NPI registry as an "organization" on May 17, 2007

The provider is located at 3071 Michigan Ave Kissimmee, Fl 34744 and the phone number is (407) 348-9111

This medical organization specializes in Legal Medicine with taxonomy code 173000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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