| Winter Park Family Health Center Inc | |
|
2304 Aloma Ave Ste 100 Winter Park FL 32792-3330 | |
| (407) 679-9222 | |
| (407) 679-9061 |
| Full Name | Winter Park Family Health Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2304 Aloma Ave Ste 100, Winter Park, Florida |
| Authorized Official Name and Position | Ronald Lorin Shaw (PRESIDENT) |
| Authorized Official Contact | 4076799222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winter Park Family Health Center Inc 2304 Aloma Ave 100 Winter Park FL 32792-3330 Ph: (407) 679-9222 | Winter Park Family Health Center Inc 2304 Aloma Ave Ste 100 Winter Park FL 32792-3330 Ph: (407) 679-9222 |
| NPI Number | 1114901816 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114901816 | NPI | - | NPPES |
| 1316213507 | Other | FL | NPI FOR LINDSEY NEWMAN DEFRESNE, DO |
| 1639373962 | Other | MI | DR. PRISKA'S NPI |
| 40471 | Other | FL | WINTER PARK MEDICARE GROUP NUMBER |
| 48983Z | Other | FL | RONALD STANISH MD |
| 1922099555 | Other | FL | RONALD L SHAW MD NPI |
| 47663Y | Other | FL | RONALD L. SHAW MD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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