Active NPI
Soni Family Practice, PLLC
- Family Medicine Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SONI FAMILY PRACTICE, PLLC
- Practice address
- 106 Park Place Blvd Ste C
Davenport, FL 33837-6868 - Phone
- (863) 588-4775
- Fax
- (863) 422-7664
- NPI assigned
- Apr 3, 2013
- Last updated
- Jan 14, 2025
- Organization subpart
- Yes
- Parent organization
- SONI FAMILY PRACTICE, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ambica Soni, MD
- Title
- Owner
- Phone
- (863) 588-4775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Mailing address
PO Box 1568
Davenport, FL 33836-1568
Phone (863) 588-4775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2057880 | Soni Family Practice | Certificate of waiver | Apr 24, 2027 |
National Provider Directory
National Provider Directory- Part of
- Soni Family Practice PLLC
Locations
17075 Cagan Ridge Blvd
Ste 100
Clermont, FL 34714
106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664
2217 North Blvd W
Ste B
Davenport, FL 33837
Phone (863) 547-0788
515 E Garden St
Ste B
Lakeland, FL 33805
2719 Maguire Rd
Ocoee, FL 34761
1060 Cypress Pkwy
Ste 101
Poinciana, FL 34759
Practitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Davenport, FL
- NPI 1114191079
-
- General Practice Physician
- Lakeland, FL
- NPI 1962408666
-
- General Practice Physician
- Poinciana, FL
- NPI 1720680887
-
- General Practice Physician
- Lakeland, FL
- NPI 1023422425
-
- General Practice Physician
- Davenport, FL
- NPI 1649568288
-
- General Practice Physician
- Davenport, FL
- NPI 1083819361
-
- Internal Medicine Physician
- Clermont, FL
- NPI 1427090794
-
- General Practice Physician
- Kissimmee, FL
- NPI 1225368111
-
- General Practice Physician
- Davenport, FL
- NPI 1548480825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1083957583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1568",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338361568",
"telephone_number": "863-588-4775",
"fax_number": "863-588-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PARK PLACE BLVD STE C",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376868",
"telephone_number": "863-588-4775",
"fax_number": "863-422-7664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONI FAMILY PRACTICE, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SONI FAMILY PRACTICE, PLLC",
"enumeration_date": "2013-04-03",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "SONI",
"authorized_official_first_name": "AMBICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-588-4775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.