Active NPI
Northwest Family Health Center
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME128359
- Legal business name
- NORTHWEST FAMILY HEALTH CENTER
- Practice address
- 5844 N Orange Blossom TRL
Orlando, FL 32810-1025 - Phone
- (407) 602-1100
- Fax
- (407) 219-4221
- NPI assigned
- Sep 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Garry B Antoine, MD
- Title
- President & Ceo
- Phone
- (407) 768-5773
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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | |||
| Emergency Registered Nurse | 163WE0003X | |||
| Family Medicine Physician | 207Q00000X | ME128359 | FL | Primary |
| General Practice Physician | 208D00000X | ACN675 | FL | |
| Critical Care Registered Respiratory Therapist | 2279C0205X | |||
| Emergency Care Registered Respiratory Therapist | 2279E0002X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
5844 N Orange Blossom TRL
Orlando, FL 32810-1025
Mailing address
PO Box 951306
Lake Mary, FL 32795-1306
Phone (407) 602-1100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015253600 | Medicaid | FL | |
| 101655000 | Medicaid | FL | |
| 01955724 | Medicaid | NY |
Other names 1
- Northwest Urgent Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.nwfamilyhealth.com |
National Provider Directory
National Provider DirectoryLocations
1630 Mason Ave
Ste B
Daytona Beach, FL 32117
Phone (386) 274-5252
4063 N Goldenrod Rd
Winter Park, FL 32792
Phone (321) 274-5644
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1316647050
-
- Urgent Care Clinic/Center
- Orlando, FL
- NPI 1942824578
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Orlando, FL
- NPI 1689073819
-
- Family Medicine Physician
- Orlando, FL
- NPI 1023061579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602806400000",
"number": "1750838041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 951306",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327951306",
"telephone_number": "407-602-1100",
"fax_number": "407-219-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5844 N ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328101025",
"telephone_number": "407-602-1100",
"fax_number": "407-219-4221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST FAMILY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-06",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A",
"authorized_official_last_name": "ANTOINE",
"authorized_official_first_name": "GARRY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "407-768-5773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Emergency",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME128359",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ACN675",
"primary": false
},
{
"code": "2279C0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "2279E0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Emergency Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015253600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101655000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01955724",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.nwfamilyhealth.com",
"affiliation": "N",
"endpointDescription": "Website Portal",
"address_1": "5844 N Orange Blossom Trl",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328101025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Northwest Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.