Organization Active NPI

Winter Park Neonatology

  • Specialist
  • Orlando, FL
National Provider Identifier
1114062205
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0059456 Issued in FL
Legal business name
WINTER PARK NEONATOLOGY
Practice address
8980 Kilgore Rd
Orlando, FL 32836-5414
Phone
(407) 876-7631
Fax
(407) 876-8235
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Ijaz Ahmed
Title
Vice President
Phone
(407) 876-7631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0059456 FL Primary

Addresses

Primary practice location

8980 Kilgore Rd
Orlando, FL 32836-5414

Mailing address

8980 Kilgore Rd
Orlando, FL 32836-5414
Phone (407) 876-7631

Other identifiers 1

IdentifierTypeStateIssuer
ME0059456OtherFLMEDICAL LICENCE #

Other names 1

  • florida neonatology group Other name

National Provider Directory

National Provider Directory

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114062205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 KILGORE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365414",
            "telephone_number": "407-876-7631",
            "fax_number": "407-876-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 KILGORE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365414",
            "telephone_number": "407-876-7631",
            "fax_number": "407-876-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER PARK NEONATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-876-7631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE #",
            "identifier": "ME0059456",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "florida neonatology group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.