Organization Active NPI

Calla Slim Spa

  • Dietary Manager
  • Winter Park, FL
National Provider Identifier
1962662445
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Legal business name
CALLA SLIM SPA
Practice address
444 W New England Ave
Suite 121
Winter Park, FL 32789-4224
Phone
(407) 644-7546
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Suzanne Gil, MDNPI 1558520254
Title
Owner/Physician
Phone
(407) 644-7546

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
Dietary ManagerGroup: 193400000X SINGLE SPECIALTY GROUP 132700000X Primary

Addresses

Primary practice location

444 W New England Ave
Suite 121
Winter Park, FL 32789-4224

Mailing address

444 W New England Ave
Suite 121
Winter Park, FL 32789-4224
Phone (407) 644-7546

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
10D1089967Calla Slim Spa444 W New England Ave Ste 121, Winter Park, FL 32789Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

444 W New England Ave
Ste 121
Winter Park, FL 32789
Phone (407) 644-7546

Practitioners & affiliated clinicians

Practitioners 2

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1962662445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W NEW ENGLAND AVE",
            "address_2": "SUITE 121",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894224",
            "telephone_number": "407-644-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W NEW ENGLAND AVE",
            "address_2": "SUITE 121",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894224",
            "telephone_number": "407-644-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLA SLIM SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-644-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.