Family Medicine Institute Professional Limited Liability Company

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE INSTITUTE PROFESSIONAL LIMITED LIABILITY COMPANY

Practice address

15126 Shonan Gold Dr
Winter Garden, FL 34787-5684

Phone

(718) 924-1316

NPI assigned

Mar 17, 2023

Last updated

Mar 21, 2023By 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

Dr. Yashel Wedderburn Landell, MD

Title

Owner/President

Phone

(407) 459-4360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Andrea McCullum Mejia, D.O.

  • Rheumatology Physician
  • Plainfield, IN
  • NPI 1023464054
  NPD (past)

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1912609744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15126 SHONAN GOLD DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875684",
            "telephone_number": "718-924-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15126 SHONAN GOLD DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875684",
            "telephone_number": "718-924-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE INSTITUTE PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "LANDELL",
        "authorized_official_first_name": "YASHEL",
        "authorized_official_middle_name": "WEDDERBURN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-459-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Faint, RBT
• Kahdija Bianka Faison, RBT
• Renee Fajardin, DDS
• Taylor Morgan Falcey, MA, CCC-SLP
• Priscilla Familia
• Destiny Fantauzzi, FNP-C
• Nicole Lauren Farag
• Umar Faridy
• Leigh Anna Eason Farrell, MSW
• Terri Fay

• Family Medicine Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.