Organization Active NPI

Soni Family Practice, PLLC

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1821814658
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SONI FAMILY PRACTICE, PLLC
Practice address
17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619
Phone
(863) 588-4775
NPI assigned
Nov 26, 2024
Organization subpart
Yes
Parent organization
SONI FAMILY PRACTICE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Dr. Ambica Soni, MDNPI 1114191079
Title
Owner
Phone
(863) 588-4775

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619

Mailing address

PO Box 1568
Davenport, FL 33836-1568
Phone (863) 588-4775

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2234774Soni Family Practice PLLC17075 Cagan Ridge Blvd, Clermont, FL 34714Certificate of waiverSep 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Soni Family Practice PLLC6 organizations share this tax ID, including this one
Part of
Soni Family Practice PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1821814658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338361568",
            "telephone_number": "863-588-4775",
            "fax_number": "863-588-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 CAGAN RIDGE BLVD STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149619",
            "telephone_number": "863-588-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONI FAMILY PRACTICE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SONI FAMILY PRACTICE, PLLC",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "AMBICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-588-4775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.