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MAMBA PHYSICIAN CARE
NPI 1558086058
Family Medicine in Winter Garden, FL

Active since October 06, 2022CLIA 10D2291266 · Waiver
15835 SHADDOCK DR STE 120, WINTER GARDEN, FL 34787(734) 673-7800(407) 347-5661 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2023, Oct 6, 2022 (2 updates tracked since 2022).

About Mamba Physician Care NPPES

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

MAMBA PHYSICIAN CARE (NPI 1558086058) is a healthcare organization registered as a family medicine in Winter Garden, Florida and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Hassan M Akram, President, as its authorized official.

NPPES Registry Identity

NPI1558086058
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAKRAM HEALTH PA
Location Address15835 SHADDOCK DR STE 120Winter Garden, FL 34787-5778
Mailing Address15835 Shaddock Dr Ste 120Winter Garden, FL 34787-5778 · (407) 347-4787
Phone(734) 673-7800
Fax(407) 347-5661
Organization SubpartNo
Authorized OfficialHassan M AkramPresident · (407) 347-4787
Enumeration DateOctober 6, 2022
Last NPPES UpdateMay 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1558086058 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.
15835 SHADDOCK DR STE 120, Winter Garden, FL 34787
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Other Names 1

Doing Business AsMamba Physician Care

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 10D2291266

Akram Health PA · Winter Garden, FL
Active · expires Oct 6, 2027
CLIA Number10D2291266
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorHassan Akram
Laboratory Phone(407) 347-4787
Laboratory LocationAkram Health PA15835 Shaddock Drive Suite 120, Winter Garden, FL 34787
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

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

DR. HASSAN MUHAMMAD AKRAM D.O.
Family Medicine
15835 SHADDOCK DR STE 120
WINTER GARDEN, FL 34787
Orange County (407) 347-4787

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 Akram Health PA's NPI number?

The NPI number for Akram Health PA is 1558086058. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is doing business as Mamba Physician Care.

Where is Akram Health PA located?

Akram Health PA is located at 15835 Shaddock Dr Ste 120, Winter Garden, FL 34787. The listed phone number is (734) 673-7800.

What is Akram Health PA's specialty?

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

Does Akram Health PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2291266) is associated with this NPI, valid through October 6, 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 Akram Health PA was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.