1. Home
  2. Directory
  3. Florida
  4. Winter Park
  5. Physician Assistant
  6. NPI Profile

CICATRIX OF WINTER PARK LLC
NPI 1518848969
Physician Assistant - Surgical in Winter Park, FL

Active since September 11, 2025
1270 ORANGE AVE STE D1, WINTER PARK, FL 32789(407) 587-5559 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cicatrix Of Winter Park Llc NPPES

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

CICATRIX OF WINTER PARK LLC (NPI 1518848969) is a healthcare organization registered as a surgical in Winter Park, Florida and active in the NPI registry since September 2025. The organization lists Jeremy Paul Ewbank, Owner, as its authorized official.

NPPES Registry Identity

NPI1518848969
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameCICATRIX OF WINTER PARK LLC
Location Address1270 ORANGE AVE STE D1Winter Park, FL 32789-4946
Mailing Address1270 Orange Ave Ste D1Winter Park, FL 32789-4946 · (407) 587-5559
Phone(407) 587-5559
Organization SubpartNo
Authorized OfficialJeremy Paul EwbankOwner · (407) 449-2645
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1518848969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
1270 ORANGE AVE STE D1, Winter Park, FL 32789
Open in Google Maps ↗

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

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 Cicatrix Of Winter Park LLC's NPI number?

The NPI number for Cicatrix Of Winter Park LLC is 1518848969. It was assigned to this organization in the NPPES registry on September 11, 2025.

Where is Cicatrix Of Winter Park LLC located?

Cicatrix Of Winter Park LLC is located at 1270 Orange Ave Ste D1, Winter Park, FL 32789. The listed phone number is (407) 587-5559.

What is Cicatrix Of Winter Park LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Cicatrix Of Winter Park LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.