Winter Garden Health and Wellness, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WINTER GARDEN HEALTH AND WELLNESS, LLC

Practice address

15122 Heron Hideaway Cir
Winter Garden, FL 34787-1707

Phone

(407) 810-0923

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Melodie J Mope, MDNPI 1861636649

Title

Owner/Physician

Phone

(407) 810-0923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melodie J Mope, M.D.

  • Family Medicine Physician
  • Windermere, FL
  • NPI 1861636649
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1407473531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15122 HERON HIDEAWAY CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15122 HERON HIDEAWAY CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871707",
            "telephone_number": "407-810-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER GARDEN HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "MOPE",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-810-0923",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Wilson
• Shonda Wilson
• Todd Wilson, M.D.
• Windermere Home Care LLC
• Kellie M Wing, OTD, MS, OTR/L, CHT
• Winter Garden Health Care Associates LLC
• Winter Garden Medical Massage
• Winter Garden Opco, LLC
• Winter Garden Rehab, LLC
• Winter Garden Senior Living, LLC

• Family Medicine Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.

Verify at the official NPI Registry.