Individual provider Active NPI

Naomi Edwin, DO

  • Student in an Organized Health Care Education/Training Program
  • Winter Garden, FL
National Provider Identifier
1013759224
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
9847 Issued in FL
Practice address
2200 Fowler Grove Blvd Ste 220
Winter Garden, FL 34787-5597
Phone
(407) 656-0042
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 9847 FL Primary

Addresses

Primary practice location

2200 Fowler Grove Blvd Ste 220
Winter Garden, FL 34787-5597

Mailing address

2200 Fowler Grove Blvd Ste 220
Winter Garden, FL 34787-5597
Phone (407) 656-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613002853 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8224571641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Sep 7, 2026 Accepting new patients
Florida Hospital Medical Group Inc PastSince Jun 16, 2024 Accepting new patients

Locations

2200 Fowler Grove Blvd
Ste 220
Winter Garden, FL 34787
Phone (407) 646-0042

Interoperability endpoints

  • Direct secure messaging: nedwin3533752@adventhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1013759224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 220",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "407-656-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 220",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "407-656-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWIN",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "9847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.