NPIMap

Organization Active NPI

Waterman Communities Inc

  • Internal Medicine Physician
  • Mount Dora, FL
National Provider Identifier
1477402386
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WATERMAN COMMUNITIES INC
Practice address
455 Waterman Avenue
Mount Dora, FL 32757
Phone
(352) 383-0051
NPI assigned
Jan 23, 2026
Organization subpart
Yes
Parent organization
WATERMAN COMMUNITIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
David Nwogu
Title
VP Coo
Phone
(352) 383-0051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

455 Waterman Avenue
Mount Dora, FL 32757

Mailing address

250 Brookfield Ave
Mount Dora, FL 32757-9559
Phone (352) 383-0051

National Provider Directory

National Provider Directory
Tax ID family
Springwater at Waterman Village6 organizations share this tax ID, including this one
Part of
Springwater at Waterman Village

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

455 Waterman Ave
Mount Dora, FL 32757
Phone (352) 383-0051

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": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1477402386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BROOKFIELD AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579559",
            "telephone_number": "352-383-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 WATERMAN AVENUE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "352-383-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN COMMUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WATERMAN COMMUNITIES INC",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "NWOGU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP COO",
        "authorized_official_telephone_number": "352-383-0051"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.