Organization Active NPI

Northwest Family Health Center

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1750838041
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME128359 Issued in FL
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

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Dr. Garry B Antoine, MDNPI 1689073819
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)CodeLicenseStatePrimary
Critical Care Medicine Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0200X
Emergency Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WE0003X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME128359 FL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ACN675 FL
Critical Care Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279C0205X
Emergency Care Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279E0002X
Urgent Care Clinic/Center 261QU0200X
Clinic Pharmacy 3336C0002X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
015253600MedicaidFL
101655000MedicaidFL
01955724MedicaidNY

Other names 1

  • Northwest Urgent Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.nwfamilyhealth.com

National Provider Directory

National Provider Directory

Locations

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.

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.