WINTER PARK MEDICINE LLC
NPI 1689089070
Specialist in Winter Park, FL
- Organization
- Specialist
- CLIA Number: 10D1079054
- CLIA Cert. Type: Blood Bank
- CLIA Exp. Date: 01-23-2028
About WINTER PARK MEDICINE LLC
This page provides the complete NPI Profile along with additional information for Winter Park Medicine Llc, a provider established in Winter Park, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1689089070 assigned on June 2014. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Thomas Johns (President)
- NPI
- 1689089070 Verify this NPI
- Provider Name
- WINTER PARK MEDICINE LLC
- Entity Type
- Organization
- Location Address
- 111 N LAKEMONT AVE WINTER PARK, FL 32792
- Location Phone
- (321) 804-4298
- Mailing Address
- PO BOX 865082 ORLANDO, FL 32886
- Mailing Phone
- (321) 804-4298
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2014
- Last Update Date
- 10-14-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D1079054
- Facility Type
- Blood Bank
- Certificate Effective Date
- January 24, 2026
- Certificate Expiration Date
- January 23, 2028
- Laboratory Director
- MARK WILLIAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Winter Park Medicine Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
WINTER PARK, FL 32792
WINTER PARK, FL 32792
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689089070, enumerated as an "organization" on June 25, 2014.
The provider is located at 111 N LAKEMONT AVE WINTER PARK, FL 32792 and the phone number is (321) 804-4298.
Specialist with taxonomy code 174400000X.
