Active NPI
Ambica Soni, MD
- Family Medicine Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME115157
- Practice address
- 106 Park Place Blvd Ste C
Davenport, FL 33837-6868 - Phone
- (863) 588-4775
- Fax
- (863) 422-7664
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 247497 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | ME115157 | FL | Primary |
Addresses
Primary practice location
106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Mailing address
PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
106 Park Place Blvd
Suite C
Davenport, FL 33837-6868
Phone (863) 588-4775
2705 Maguire Rd
Ocoee, FL 34761-4797
Phone (863) 588-4775
515 E Garden St
Suite B
Lakeland, FL 33805-4615
Phone (863) 588-4775
907 N Central Ave
Suite a
Kissimmee, FL 34741-5002
Phone (863) 588-4775
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115157 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SFP PC Holdings, Inc. | Current | Accepting new patients | |
| Soni Family Practice, PLLC | Family Medicine | Current | Accepting new patients |
| Soni Family Practice, PLLC | Family Medicine | Past | Accepting new patients |
| Soni Family Practice, PLLC | Family Medicine | Past | Accepting new patients |
| Soni Family Practice, PLLC | Family Medicine | Past | Accepting new patients |
| Soni Family Practice, PLLC | Family Medicine | Past | Accepting new patients |
| Soni Family Practice, PLLC | Family Medicine | Past | Accepting new patients |
| Soni Family Practice, PLLC | Family Medicine | Past | Accepting new patients |
Locations
17075 Cagan Ridge Blvd
Ste 100
Clermont, FL 34714
2217 North Blvd W
Ste B
Davenport, FL 33837
Phone (863) 547-0788
106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664
2705 Maguire Rd
Ocoee, FL 34761
Phone (407) 574-2880
1060 Cypress Pkwy
Unit 101
Poinciana, FL 34759
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- ambica.soni.1@6807.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Davenport, FL
- NPI 1083957583
-
- Family Medicine Physician
- Kissimmee, FL
- NPI 1114869427
-
- Family Medicine Physician
- Ocoee, FL
- NPI 1336965185
-
- Family Medicine Physician
- Lakeland, FL
- NPI 1770309510
-
- Family Medicine Physician
- Clermont, FL
- NPI 1821814658
-
- Family Medicine Physician
- Poinciana, FL
- NPI 1912723750
-
- Multi-Specialty Clinic/Center
- Davenport, FL
- NPI 1225923667
-
- Family Medicine Physician
- Davenport, FL
- NPI 1194630400
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1114191079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 878",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338360878",
"telephone_number": "689-223-3898",
"fax_number": "689-223-3898"
},
{
"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": {
"last_name": "SONI",
"first_name": "AMBICA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "247497",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME115157",
"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 Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.