NPIMap

Organization Active NPI

Soni Family Practice, PLLC

  • Family Medicine Physician
  • Davenport, FL
National Provider Identifier
1194630400
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SONI FAMILY PRACTICE, PLLC
Practice address
30 W Bay St
Ste 101
Davenport, FL 33837-4163
Phone
(863) 588-4775
NPI assigned
Aug 19, 2026
Organization subpart
Yes
Parent organization
SONI FAMILY PRACTICE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Ryan Wasson
Title
Credentialing Manager
Phone
(407) 214-9290

Specialties & licenses 1

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

Addresses

Primary practice location

30 W Bay St
Ste 101
Davenport, FL 33837-4163

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

National Provider Directory

National Provider Directory
Tax ID family
Soni Family Practice PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30 W Bay St
Ste 101
Davenport, FL 33837

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": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1194630400",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W BAY ST",
            "address_2": "STE 101",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338374163",
            "telephone_number": "863-588-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONI FAMILY PRACTICE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SONI FAMILY PRACTICE, PLLC",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "407-214-9290"
    },
    "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 Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.