Organization Active NPI

Family Wellness Clinic Corp

  • Family Medicine Physician
  • Ocoee, FL
National Provider Identifier
1104786144
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY WELLNESS CLINIC CORP
Practice address
2960 Maguire Rd Ste 1004B
Ocoee, FL 34761-4755
Phone
(407) 347-7267
Fax
(321) 256-5349
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Miriam Elizabeth Zapata, NPNPI 1134645179
Title
Nurse Practitioner/ Administrator
Phone
(305) 731-0223

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2960 Maguire Rd Ste 1004B
Ocoee, FL 34761-4755

Mailing address

2960 Maguire Rd Ste 1004B
Ocoee, FL 34761-4755
Phone (407) 347-7267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260227000094 FL Part B Supplier - Clinic/Group Practice 7911488994 Receives reassigned benefits from 1 practitioner
Practice locations: Ocoee, FL

National Provider Directory

National Provider Directory

Locations

2960 Maguire Rd
Unit B
Ocoee, FL 34761

2960 Maguire Rd
Unit A
Ocoee, FL 34761

2960 Maguire Rd
Ste 1004B
Ocoee, FL 34761
Phone (407) 347-7267

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1104786144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 MAGUIRE RD STE 1004B",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614755",
            "telephone_number": "407-347-7267",
            "fax_number": "321-256-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MAGUIRE RD STE 1004B",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614755",
            "telephone_number": "407-347-7267",
            "fax_number": "321-256-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "305-731-0223",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.