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LAKE BALDWIN MEDICAL
NPI 1619132867
Clinic/Center in Orlando, FL

Active since July 26, 2008
1459 LAKE BALDWIN LN, SUITE A, ORLANDO, FL 32814(407) 893-3905(407) 893-3906 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Baldwin Medical NPPES

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

LAKE BALDWIN MEDICAL (NPI 1619132867) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since July 2008. The organization lists S Rafik Bouaziz, Manager / Director, as its authorized official.

NPPES Registry Identity

NPI1619132867
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNUTMEG HOLDINGS LLC
Location Address1459 LAKE BALDWIN LN, SUITE AOrlando, FL 32814-6741
Mailing AddressPo Box 149374Orlando, FL 32814-9374 · (407) 893-3905 · Fax (407) 893-3906
Phone(407) 893-3905
Fax(407) 893-3906
Organization SubpartNo
Authorized OfficialS Rafik BouazizManager / Director · (407) 893-3905
Enumeration DateJuly 26, 2008
Last NPPES UpdateMarch 9, 2012
✔ NPI 1619132867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1459 LAKE BALDWIN LN, Orlando, FL 32814
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Other Names 1

Doing Business AsLake Baldwin Medical

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.

DERASH INC
Home Health
1459 LAKE BALDWIN LN, SUITE A
ORLANDO, FL 32814
Orange County (407) 893-3905
ALI SHAYGAN MD
Family Medicine
1459 LAKE BALDWIN LN, SUITE A
ORLANDO, FL 32814
Orange County (407) 893-3905

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 Nutmeg Holdings LLC's NPI number?

The NPI number for Nutmeg Holdings LLC is 1619132867. It was assigned to this organization in the NPPES registry on July 26, 2008. The provider is doing business as Lake Baldwin Medical.

Where is Nutmeg Holdings LLC located?

Nutmeg Holdings LLC is located at 1459 Lake Baldwin Ln Suite A, Orlando, FL 32814. The listed phone number is (407) 893-3905.

What is Nutmeg Holdings LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Nutmeg Holdings LLC was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.