Florida Care Center Winter Garden, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ACN411 Issued in FL

Legal business name

FLORIDA CARE CENTER WINTER GARDEN, LLC

Practice address

319 S Dillard St
Winter Garden, FL 34787-3524

Phone

(404) 574-6969

Fax

(407) 574-7076

NPI assigned

Oct 21, 2011

Last updated

Nov 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos J. Gonzalez

Title

President

Phone

(305) 888-2210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1861778896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144176",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331144176",
            "telephone_number": "305-888-2210",
            "fax_number": "305-443-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S DILLARD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873524",
            "telephone_number": "404-574-6969",
            "fax_number": "407-574-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CARE CENTER WINTER GARDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-888-2210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ACN411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FL Clinical Consultants LLC
• Nadia L Fleetwood, DDS
• Melanie Fleming, APRN
• Scott Alexander Fleming, MDIV, MS, NCC, HEC-C
• Lideyni J Flores, RN
• Florida Hospital Medical Group Inc (Rothman Orthopaedics AdventHealth Medical Group at Winter Garden)
• Florida Institute of Dermatology LLC
• Florida Primary Care Center, PA
• Florida Radiology Imaging at Lake Mary LLC (AdventHealth Imaging Winter Garden)
• Florida Woman Care ,LLC

• Clinic/Center in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.