1. Home
  2. Directory
  3. Florida
  4. Maitland
  5. Family Medicine
  6. NPI Profile

MAITLAND FAMILY PRACTICE
NPI 1558464669
Family Medicine in Maitland, FL

Active since September 06, 2006
402 LAKE HOWELL RD, MAITLAND, FL 32751(407) 628-4312(407) 628-1845 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maitland Family Practice NPPES

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

MAITLAND FAMILY PRACTICE (NPI 1558464669) is a healthcare organization registered as a family medicine in Maitland, Florida and active in the NPI registry since September 2006. The organization lists Eddie C Waldheim, President, as its authorized official.

NPPES Registry Identity

NPI1558464669
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAITLAND FAMILY PRACTICE
Location Address402 LAKE HOWELL RDMaitland, FL 32751-5907
Mailing Address402 Lake Howell RdMaitland, FL 32751-5907 · (407) 628-4312 · Fax (407) 628-1845
Phone(407) 628-4312
Fax(407) 628-1845
Organization SubpartNo
Authorized OfficialEddie C WaldheimPresident · (407) 628-4312
Enumeration DateSeptember 6, 2006
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1558464669 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.
402 LAKE HOWELL RD, Maitland, FL 32751
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN97117FL
Medicaid265582900FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Other Providers at the Same Location NPPES 7

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

MS. JUDITHE PAULIUS D.O.
Family Medicine
402 LAKE HOWELL RD
MAITLAND, FL 32751
Orange County (407) 628-4312
JENNIFER L SAMS
Nurse Practitioner (Family)
402 LAKE HOWELL RD
MAITLAND, FL 32751
Orange County (407) 628-4312
DR. TIMOTHY JAY PURSLEY M.D.
Family Medicine
402 LAKE HOWELL RD
MAITLAND, FL 32751
Orange County (407) 628-4312
MRS. KAYLA CALDWELL
Nurse Practitioner (Family)
402 LAKE HOWELL RD
MAITLAND, FL 32751
Orange County (706) 913-7081
GAVIN NICHOLAS VAN STADEN MD
Family Medicine
402 LAKE HOWELL RD
MAITLAND, FL 32751
Orange County (407) 628-4312
DR. EDDIE CLARK WALDHEIM JR. M.D.
Family Medicine
402 LAKE HOWELL RD
MAITLAND, FL 32751
Orange County (407) 628-4312
PAMELA CARLSON FNP
Nurse Practitioner (Family)
402 LAKE HOWELL RD
MAITLAND, FL 32751
Orange County (407) 628-4312

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 Maitland Family Practice's NPI number?

The NPI number for Maitland Family Practice is 1558464669. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Maitland Family Practice located?

Maitland Family Practice is located at 402 Lake Howell Rd, Maitland, FL 32751. The listed phone number is (407) 628-4312.

What is Maitland Family Practice's specialty?

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

What insurance does Maitland Family Practice accept?

Health plans from AvMed list Maitland Family Practice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maitland Family Practice was last updated on September 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.