NPIMap

Organization Active NPI

Winter Park Family Physicians LLC

  • Family Medicine Physician
  • Winter Springs, FL
National Provider Identifier
1538619952
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME92346 Issued in FL
Legal business name
WINTER PARK FAMILY PHYSICIANS LLC
Practice address
5745 Canton CV
Suite 121
Winter Springs, FL 32708-5012
Phone
(407) 647-2550
Fax
(407) 647-0616
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Ahmad B Amawi, MDNPI 1194761916
Title
President
Phone
(407) 647-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME92346 FL Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME112530 FL

Addresses

Primary practice location

5745 Canton CV
Suite 121
Winter Springs, FL 32708-5012

Mailing address

P.O. Box 180898
Casselberry, FL 32718-0898
Phone (407) 647-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170213000029 FL Part B Supplier - Clinic/Group Practice 5698058980 Receives reassigned benefits from 18 practitioners
Practice locations: Casselberry, FL; Winter Park, FL; Oviedo, FL; Orlando, FL; Maitland, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1538619952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 180898",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327180898",
            "telephone_number": "407-647-2550",
            "fax_number": "407-647-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 CANTON CV",
            "address_2": "SUITE 121",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085012",
            "telephone_number": "407-647-2550",
            "fax_number": "407-647-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER PARK FAMILY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "AMAWI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-647-2550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92346",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME112530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.