AMG MEDICAL GROUP, LLC
NPI 1619672714
Clinic/Center - Primary Care in Ocoee, FL

Active since March 30, 2023CLIA 10D2291274 · Waiver

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2023, Oct 13, 2023, Aug 23, 2023 and 1 more (4 updates tracked since 2023).

About Amg Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMG MEDICAL GROUP, LLC (NPI 1619672714) is a healthcare organization registered as a primary care in Ocoee, Florida and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Jorge Enrique Monroy Avella, Owner, as its authorized official.

NPPES Registry Identity

NPI1619672714
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAMG MEDICAL GROUP, LLC
Location Address2714 REW CIROcoee, FL 34761-2990
Mailing Address2714 Rew CirOcoee, FL 34761-2990 · (407) 388-5982
Organization SubpartNo
Authorized OfficialJorge Enrique Monroy AvellaOwner · (407) 388-5982
Enumeration DateMarch 30, 2023
Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1619672714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2714 REW CIR, Ocoee, FL 34761

Other Names 1

Doing Business AsAmg Medical Group, Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2291274

Amg Medical Group LLC · Ocoee, FL
Active · expires Oct 8, 2027
CLIA Number10D2291274
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorJorge E. Monroy Avella
Laboratory Phone(407) 388-5982
Laboratory LocationAmg Medical Group LLC2714 Rew Circle, Ocoee, FL 34761
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
2714 REW CIR
OCOEE, FL 34761
Obstetrics & Gynecology
2714 REW CIR
OCOEE, FL 34761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amg Medical Group, LLC's NPI number?

The NPI number for Amg Medical Group, LLC is 1619672714. It was assigned to this organization in the NPPES registry on March 30, 2023.

Where is Amg Medical Group, LLC located?

Amg Medical Group, LLC is located at 2714 Rew Cir, Ocoee, FL 34761. The listed phone number is (407) 388-5982.

What is Amg Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Amg Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2291274) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amg Medical Group, LLC was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.