Woodland Lakes Family Practice PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0S5964 Issued in FL

Legal business name

WOODLAND LAKES FAMILY PRACTICE PA

Practice address

1537 S Alafaya TRL Ste 104
Orlando, FL 32828-8955

Phone

(072) 033-8884

Fax

(321) 235-0971

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

George M Hudson, D.O.NPI 1124008388

Title

Owner

Phone

(321) 235-0970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Avalon Park Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avalon Park Family Medicine

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1093977167
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Michael Hudson, D.O.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1124008388
  Medicare reassignment Authorized official
• Gretchen A Daniels, ARNP

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1740414952
  Medicare reassignment NPD
• Jenny A Fernandez Feria, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1134003163
  Medicare reassignment NPD
• Beverly J Lewis

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225623671
  NPD
• Mary Beth Adams

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1386005817
  NPD (past)
• Patricio Giovanni Bruno, D.O.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1336120690
  NPD (past)
• Dianne Marie Okonsky, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1881674505
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1083806269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 S ALAFAYA TRL STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288955",
            "telephone_number": "074-203-3888",
            "fax_number": "321-235-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 S ALAFAYA TRL STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288955",
            "telephone_number": "072-033-8884",
            "fax_number": "321-235-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND LAKES FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-235-0970",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "0S5964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diera Woodard, RCSW-I
• Jazlyn Woodard
• Narva Woodard, LMHC
• Terrence D Woodard
• Duane F Wooden, LMHC
• Ashleigh Woodruff
• Etan Woodruff, LPN
• Melanie Lynn Woodruff, CCC-SLP
• Brad William Woods, MD
• Leslye Woods, OTR/L

• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.