Active NPI
Vip Woundcare Inc Dba Azalea Wellness
- Adult Medicine Physician
- Minneola, FL
National Provider Identifier
1245112663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- VIP WOUNDCARE INC DBA AZALEA WELLNESS
- Practice address
- 1600 Evening Summit Cir
Minneola, FL 34715-9104 - Phone
- (678) 468-3856
- NPI assigned
- Jul 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelia Moore Faine, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (678) 468-3856
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
1600 Evening Summit Cir
Minneola, FL 34715-9104
Mailing address
1683 N Hancock Rd Ste 103-132
Minneola, FL 34715-8189
Phone (678) 468-3856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1683 N Hancock Rd
Ste 103132
Minneola, FL 34715
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- The Villages, FL
- NPI 1427452127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1245112663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1683 N HANCOCK RD STE 103-132",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347158189",
"telephone_number": "678-468-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 EVENING SUMMIT CIR",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347159104",
"telephone_number": "678-468-3856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIP WOUNDCARE INC DBA AZALEA WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "FAINE",
"authorized_official_first_name": "SHELIA",
"authorized_official_middle_name": "MOORE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-468-3856",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.