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PRIVATE HEALTH MD PA
NPI 1427243062
Internal Medicine in Winter Park, FL

Active since September 06, 2007CLIA 10D1079752 · Waiver
300 N PENNSYLVANIA AVE, WINTER PARK, FL 32789(407) 628-1081(407) 628-1806 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Private Health Md Pa NPPES

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

PRIVATE HEALTH MD PA (NPI 1427243062) is a healthcare organization registered as an internal medicine in Winter Park, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Ivan Castro, Owner, as its authorized official.

NPPES Registry Identity

NPI1427243062
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIVATE HEALTH MD PA
Location Address300 N PENNSYLVANIA AVEWinter Park, FL 32789-3773
Mailing Address300 N Pennsylvania AveWinter Park, FL 32789-3773 · (407) 628-1081 · Fax (407) 628-1806
Phone(407) 628-1081
Fax(407) 628-1806
Organization SubpartNo
Authorized OfficialIvan CastroOwner · (407) 670-9868
Enumeration DateSeptember 6, 2007
Last NPPES UpdateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1427243062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME59499
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 N PENNSYLVANIA AVE, Winter Park, FL 32789
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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

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 10D1079752

Private Health MD PA · Winter Park, FL
Active · expires Feb 5, 2028
CLIA Number10D1079752
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorIvan Castro MD
Laboratory Phone(407) 628-1081
Laboratory LocationPrivate Health MD PA300 N Pennsylvania Avenue, Winter Park, FL 32789
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. IVAN JOSE CASTRO MD
Internal Medicine
300 N PENNSYLVANIA AVE
WINTER PARK, FL 32789
Orange County (407) 628-1081
LAUREN KRAUSER SHEPHERD APRN
Nurse Practitioner (Family)
300 N PENNSYLVANIA AVE
WINTER PARK, FL 32789
Orange County (407) 628-1081

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 Private Health MD PA's NPI number?

The NPI number for Private Health MD PA is 1427243062. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Private Health MD PA located?

Private Health MD PA is located at 300 N Pennsylvania Ave, Winter Park, FL 32789. The listed phone number is (407) 628-1081.

What is Private Health MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Private Health MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1079752) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Private Health MD PA was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.