Organization Active NPI

Prisma Wellness Florida LLC

  • Psychiatry Physician
  • Winter Park, FL
National Provider Identifier
1225847288
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRISMA WELLNESS FLORIDA LLC
Practice address
1270 Orange Ave Ste D3
Winter Park, FL 32789-4946
Phone
(206) 785-1015
Fax
(206) 785-1023
NPI assigned
Jan 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Daniela Borquez
Title
Owner
Phone
(206) 939-1456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1270 Orange Ave Ste D3
Winter Park, FL 32789-4946

Mailing address

1270 Orange Ave Ste D3
Winter Park, FL 32789-4946
Phone (206) 785-1015

National Provider Directory

National Provider Directory

Locations

22 W Monument Ave
Ste 32
Kissimmee, FL 34741

1270 Orange Ave
Ste D3
Winter Park, FL 32789
Phone (206) 785-1015

321 Burnett Ave S
Fl 2
Renton, WA 98057
Phone (206) 785-1015

NPI Registry JSON

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1225847288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 ORANGE AVE STE D3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894946",
            "telephone_number": "206-785-1015",
            "fax_number": "206-939-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 ORANGE AVE STE D3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894946",
            "telephone_number": "206-785-1015",
            "fax_number": "206-785-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA WELLNESS FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "BORQUEZ",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-939-1456"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.