Winter Park Complementary Medicine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH-7669 Issued in FL

Legal business name

WINTER PARK COMPLEMENTARY MEDICINE

Practice address

670 North Orlando Avenue
Suite #103
Maitland, FL 32751

Phone

(407) 644-8197

Fax

(407) 644-8198

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Leslie S. Maffia

Title

Office Manager

Phone

(407) 644-8197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1750495602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 NORTH ORLANDO AVENUE",
            "address_2": "SUITE #103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-644-8197",
            "fax_number": "407-644-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 NORTH ORLANDO AVENUE",
            "address_2": "SUITE #103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-644-8197",
            "fax_number": "407-644-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER PARK COMPLEMENTARY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "MAFFIA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-644-8197",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-7669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Todd Wilson, PA-C
• Mikayla Wilson
• Shaynia Renea Wilson
• Vance Edward Wilson, C.R.N.A.
• Tara Winn, MSW
• Winter Park Family Practice LLC
• Winter Park Operating Investments LLC
• Robert P Winter, MD
• Devyn Lee Wipperfurth, DC
• Amy Elise Witt, MD

• Chiropractor in Maitland, FL
• Providers in Maitland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.