WOODLAND LAKES FAMILY PRACTICE PA
NPI 1083806269
General Practice in Orlando, FL

Active since August 13, 2007
1537 S ALAFAYA TRL STE 104, ORLANDO, FL 32828(072) 033-8884(321) 235-0971 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Woodland Lakes Family Practice Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODLAND LAKES FAMILY PRACTICE PA (NPI 1083806269) is a healthcare organization registered as a general practice in Orlando, Florida and active in the NPI registry since August 2007. The organization lists George M Hudson, Owner, as its authorized official.

NPPES Registry Identity

NPI1083806269
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWOODLAND LAKES FAMILY PRACTICE PA
Location Address1537 S ALAFAYA TRL STE 104Orlando, FL 32828-8955
Mailing Address1537 S Alafaya Trl Ste 104Orlando, FL 32828-8955 · (074) 203-3888 · Fax (321) 235-0971
Fax(321) 235-0971
Organization SubpartNo
Authorized OfficialGeorge M HudsonOwner · (321) 235-0970
Enumeration DateAugust 13, 2007
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1083806269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · 0S5964
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1537 S ALAFAYA TRL STE 104, Orlando, FL 32828

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodland Lakes Family Practice Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Woodland Lakes Family Practice PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1740414952
1537 S. ALAFAYA TRAIL SUITE 104
Orlando, FL 32828
(407) 203-3888
✔ PECOSSame address
Family Practice
NPI 1124008388
1537 S ALAFAYA TRL STE 104
Orlando, FL 32828
(407) 203-3888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134003163
4367 WOODSTOCK DR APT C
West Palm Beach, FL 33409
(561) 404-3076
✔ PECOS✔ Accepts Medicare141 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodland Lakes Family Practice PA's NPI number?

The NPI number for Woodland Lakes Family Practice PA is 1083806269. It was assigned to this organization in the NPPES registry on August 13, 2007.

Where is Woodland Lakes Family Practice PA located?

Woodland Lakes Family Practice PA is located at 1537 S Alafaya Trl Ste 104, Orlando, FL 32828. The listed phone number is (072) 033-8884.

What is Woodland Lakes Family Practice PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Woodland Lakes Family Practice PA enrolled in Medicare?

Yes. Woodland Lakes Family Practice PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Woodland Lakes Family Practice PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Woodland Lakes Family Practice PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Woodland Lakes Family Practice PA was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.