Winter Park University Center Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WINTER PARK UNIVERSITY CENTER MEDICAL LLC

Practice address

7053 University Blvd
Winter Park, FL 32792-6720

Phone

(321) 356-1454

Fax

(877) 714-9315

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Gamil Nematalla

Title

Ceo

Phone

(321) 356-1454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1205517430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7053 UNIVERSITY BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926720",
            "telephone_number": "321-356-1454",
            "fax_number": "877-714-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7053 UNIVERSITY BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926720",
            "telephone_number": "321-356-1454",
            "fax_number": "877-714-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER PARK UNIVERSITY CENTER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "NEMATALLA",
        "authorized_official_first_name": "GAMIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-356-1454"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winter Park Physiatry LLC
• Winter Park Psychology, Inc.
• Winter Park Spine & Injury
• Winter Park Spine & Injury
• Winter Park Surgery Center LP (Physician's Surgical Care Center)
• Winter Park Wellness
• Ashlee Elizabeth Winter, APRN
• Deborah Ann Winters, BCBA
• Caitlin Wise
• Claudia Cothran Wise, LMHC

• Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinic/Center in Florida

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