Laurel Oaks Family Practice PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LAUREL OAKS FAMILY PRACTICE PA

Doing business as

Clermont Healthcare

Practice address

2711 Maguire Rd
Ocoee, FL 34761

Phone

(407) 877-1990

Fax

(407) 877-1995

NPI assigned

Oct 16, 2006

Last updated

Jul 21, 2022By 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. James B Wilson Jr., DONPI 1992747034

Title

President

Phone

(407) 877-1990

Specialties & licenses 2

Addresses

Other names 1

• Clermont Healthcare Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Bradley Wilson Jr., DO

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1992747034
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881784031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 MAGUIRE RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-877-1990",
            "fax_number": "407-877-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 MAGUIRE RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-877-1990",
            "fax_number": "407-877-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL OAKS FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-877-1990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clermont Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Wayne Langley, M.D.
• Amiah P Lanier
• Minedy Laracuente, APRN
• Katherine Marie Larger, DPT
• Laurel Oaks Family Practice of Central Florida PA
• Hannah Laviana, B.C.B.A.
• Nicole Marie Lavoie, APRN
• Lillian Lebron
• Adrain Yvette Lee, NP
• Jessica Anderson Lee, PA

• General Practice Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.