Charlene Alie

Individual provider Active NPI General Practice Physician · Winter Garden, FL

NPI 1891604963 · NPPES record last updated Sep 3, 2026

Key facts

NPI
1891604963
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
APRN11050121 (FL)
Practice address
541 Winter Garden Vineland Rd
Winter Garden, FL 34787-5207
Phone
(689) 686-8880
NPI assigned
Sep 3, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X APRN11050121 FL Yes

Addresses

Primary practice location

541 Winter Garden Vineland Rd
Winter Garden, FL 34787-5207

Mailing address

14821 Tullamore Loop
Winter Garden, FL 34787-5336
Phone (407) 398-4497

Other providers in Winter Garden, FL

All providers in Winter Garden, FL · General Practice Physician in Florida

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.