Organization Active NPI

West Orange Vascular Center LLC

  • Vascular Surgery Physician
  • Winter Garden, FL
National Provider Identifier
1427417344
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
WEST ORANGE VASCULAR CENTER LLC
Doing business as
West Orange Vascular Center LLC
Practice address
1210 E Plant St
Ste 140
Winter Garden, FL 34787-2996
Phone
(407) 297-8408
Fax
(407) 297-8409
NPI assigned
Feb 19, 2016
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Dr. Banji Awosika, M.D.NPI 1295770428
Title
Member Manager
Phone
(407) 927-5873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

1210 E Plant St
Ste 140
Winter Garden, FL 34787-2996

Mailing address

1210 E Plant St
Ste 140
Winter Garden, FL 34787-2996
Phone (407) 297-8408

Other names 1

  • WEST ORANGE VASCULAR CENTER LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1210 E Plant St
Ste 140
Winter Garden, FL 34787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1427417344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E PLANT ST",
            "address_2": "STE 140",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872996",
            "telephone_number": "407-297-8408",
            "fax_number": "407-297-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E PLANT ST",
            "address_2": "STE 140",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872996",
            "telephone_number": "407-297-8408",
            "fax_number": "407-297-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "AWOSIKA",
        "authorized_official_first_name": "BANJI",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "407-927-5873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST ORANGE VASCULAR CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.