Individual provider Active NPI

Chrisovalatou Farah, PA-C

  • Physician Assistant
  • Ocoee, FL
National Provider Identifier
1134635873
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110851 Issued in FL
Practice address
1540 Citrus Medical CT
Ocoee, FL 34761-4547
Phone
(407) 602-7168
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110851 FL Primary

Addresses

Primary practice location

1540 Citrus Medical CT
Ocoee, FL 34761-4547

Mailing address

1540 Citrus Medical CT
Ocoee, FL 34761-4547
Phone (407) 602-7168

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326002991 FL Practitioner - Physician Assistant 5799047072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindpath Health Florida, PLLCGroup PAC ID 7517858285, 52 clinicians

Practice addresses (Care Compare)

1540 Citrus Medical CT
Ocoee, FL 34761-4547
Phone (407) 602-7168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Apr 2, 2018 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Apr 2, 2018 Accepting new patients

Locations

410 Celebration Pl
Ste 305
Kissimmee, FL 34747
Phone (407) 303-4120

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

787 37th St
Ste E170
Vero Beach, FL 32960
Phone (772) 569-3212

1685 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 896-8097

Interoperability endpoints

  • Direct secure messaging: mpfl.chrisovalatoutassopoulos@150275.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1134635873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 CITRUS MEDICAL CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614547",
            "telephone_number": "407-602-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 CITRUS MEDICAL CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614547",
            "telephone_number": "407-602-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "CHRISOVALATOU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.