Organization Active NPI

Windermere Medical Center

  • Primary Care Clinic/Center
  • Windermere, FL
National Provider Identifier
1235689225
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ARNP9205930 Issued in FL
Legal business name
WINDERMERE MEDICAL CENTER
Practice address
11600 Lakeside Village LN
Windermere, FL 34786-7024
Phone
(407) 876-2273
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Sara Dee
Title
Office Manager
Phone
(470) 876-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ARNP9205930 FL Primary

Addresses

Primary practice location

11600 Lakeside Village LN
Windermere, FL 34786-7024

Mailing address

5424 Cape Hatteras Dr
Clermont, FL 34714-7093
Phone (352) 250-7921

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1235689225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 CAPE HATTERAS DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347147093",
            "telephone_number": "352-250-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 LAKESIDE VILLAGE LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867024",
            "telephone_number": "407-876-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "DEE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "470-876-2273"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP9205930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.