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DR PHILLIPS MEDICAL WELLNESS CENTER LLC
NPI 1225549603
Family Medicine in Fern Park, FL

Active since October 12, 2017CLIA 10D2142157 · Waiver
2915 LAKEVIEW DR STE 1001, FERN PARK, FL 32730(407) 900-0613(407) 335-6945 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2021, Mar 11, 2021, Feb 9, 2021 and 7 more (10 updates tracked since 2017).

About Dr Phillips Medical Wellness Center Llc NPPES

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

DR PHILLIPS MEDICAL WELLNESS CENTER LLC (NPI 1225549603) is a healthcare organization registered as a family medicine in Fern Park, Florida and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Maryam Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1225549603
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR PHILLIPS MEDICAL WELLNESS CENTER LLC
Location Address2915 LAKEVIEW DR STE 1001Fern Park, FL 32730-2009
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (407) 960-1465 · Fax (407) 335-6945
Phone(407) 900-0613
Fax(407) 335-6945
Organization SubpartNo
Authorized OfficialMaryam PhillipsOwner · (407) 900-0613
Enumeration DateOctober 12, 2017
Last NPPES UpdateMarch 25, 202110 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1225549603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2915 LAKEVIEW DR STE 1001, Fern Park, FL 32730
Open in Google Maps ↗

Other Identifiers 1

OtherNH873FL · Fl Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2142157

Dr Phillips Medical Wellness Center, LLC · Casselberry, FL
Active · expires Oct 14, 2027
CLIA Number10D2142157
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorDr. Maryam Phillips
Laboratory Phone(407) 900-0613
Laboratory LocationDr Phillips Medical Wellness Center, LLC2915 Lakeview Drive Suite 1001, Casselberry, FL 32730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE MICHELE SANFORD APRN
Nurse Practitioner (Family)
2915 LAKEVIEW DR STE 1001
FERN PARK, FL 32730
Seminole County (407) 900-0613
ARIANA MARIA ROSADO MALDONADO MD
Family Medicine
2915 LAKEVIEW DR STE 1001
FERN PARK, FL 32730
Seminole County (407) 900-0613
ANIELKA RAFAELA RODRIGUEZ M.D.
Family Medicine
2915 LAKEVIEW DR STE 1001
FERN PARK, FL 32730
Seminole County (407) 900-0613
ANGELA PATRICIA SALAZAR DE TORRES FNP-BC
Nurse Practitioner (Family)
2915 LAKEVIEW DR STE 1001
FERN PARK, FL 32730
Seminole County (074) 900-0613

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 Dr Phillips Medical Wellness Center LLC's NPI number?

The NPI number for Dr Phillips Medical Wellness Center LLC is 1225549603. It was assigned to this organization in the NPPES registry on October 12, 2017.

Where is Dr Phillips Medical Wellness Center LLC located?

Dr Phillips Medical Wellness Center LLC is located at 2915 Lakeview Dr Ste 1001, Fern Park, FL 32730. The listed phone number is (407) 900-0613.

What is Dr Phillips Medical Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dr Phillips Medical Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2142157) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr Phillips Medical Wellness Center LLC was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.