Organization Active NPI

Tuskawilla Family Medicine, Inc..

  • Family Medicine Physician
  • Winter Springs, FL
National Provider Identifier
1063458073
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TUSKAWILLA FAMILY MEDICINE, INC..
Practice address
1301 Sundial PT
Winter Springs, FL 32708-6622
Phone
(407) 699-6009
Fax
(407) 699-6008
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Mr. Suree Vyas
Title
Administrator
Phone
(407) 260-1137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1301 Sundial PT
Winter Springs, FL 32708-6622

Mailing address

320 W Sabal Palm PL
Suite 300
Longwood, FL 32779-3639
Phone (407) 260-1137

National Provider Directory

National Provider Directory

Locations

2501 N Orange Ave
Ste 446
Orlando, FL 32804
Phone (407) 975-0412

1301 Sundial Pt
Winter Springs, FL 32708
Phone (407) 699-6009

1340 Tuskawilla Rd
Ste 1013
Winter Springs, FL 32708

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1063458073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W SABAL PALM PL",
            "address_2": "SUITE 300",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793639",
            "telephone_number": "407-260-1137",
            "fax_number": "407-332-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUNDIAL PT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086622",
            "telephone_number": "407-699-6009",
            "fax_number": "407-699-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSKAWILLA FAMILY MEDICINE, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "SUREE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-260-1137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.