NPIMap

Organization Active NPI

Medi Winter Park LLC

  • General Practice Physician
  • Winter Park, FL
National Provider Identifier
1588086953
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDI WINTER PARK LLC
Practice address
1234 W Fairbanks Ave
Winter Park, FL 32789-4890
Phone
(407) 673-5555
NPI assigned
Jan 20, 2014
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Christopher Tracy
Title
President
Phone
(407) 256-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1234 W Fairbanks Ave
Winter Park, FL 32789-4890

Mailing address

1234 W Fairbanks Ave
Winter Park, FL 32789-4890
Phone (407) 673-5555

National Provider Directory

National Provider Directory

Locations

8081 Turkey Lake Rd
Orlando, FL 32819
Phone (407) 362-0023

3202 W Kennedy Blvd
Ste 2
Tampa, FL 33609
Phone (407) 226-2993

5559 E Sr 44
Wildwood, FL 34785
Phone (407) 226-2993

15516 W Colonial Dr
Ste 111
Winter Garden, FL 34787
Phone (407) 226-2993

1234 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 673-5555

1850 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 226-2993

234 W Fairbanks Ave
Winter Park, FL 32789

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1588086953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894890",
            "telephone_number": "407-673-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894890",
            "telephone_number": "407-673-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI WINTER PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-256-5119"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.