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SEMINOLE SPORTS & FAMILY MEDICINE, PA
NPI 1699953521
Family Medicine in Oviedo, FL

Active since February 01, 2008CLIA 10D0974491 · Waiver
798 EXECUTIVE DR, OVIEDO, FL 32765(407) 359-8580(407) 359-8364 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Seminole Sports & Family Medicine, Pa NPPES

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

SEMINOLE SPORTS & FAMILY MEDICINE, PA (NPI 1699953521) is a healthcare organization registered as a family medicine in Oviedo, Florida and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through June 7, 2028, maintains a secondary practice location in Oviedo, and lists Matthew Rosen, President, as its authorized official.

NPPES Registry Identity

NPI1699953521
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSEMINOLE SPORTS & FAMILY MEDICINE, PA
Location Address798 EXECUTIVE DROviedo, FL 32765
Mailing Address798 Executive DrOviedo, FL 32765-6392 · (407) 359-8580 · Fax (407) 359-8364
Phone(407) 359-8580
Fax(407) 359-8364
Organization SubpartNo
Authorized OfficialMatthew RosenPresident · (407) 359-8580
Enumeration DateFebruary 1, 2008
Last NPPES UpdateOctober 9, 2019
✔ NPI 1699953521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME73173
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.
798 EXECUTIVE DR, Oviedo, FL 32765
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Secondary Practice Location 1

Location 11000 W Broadway St, Suite 102Oviedo, FL 32765-9260 · Phone (407) 359-8580 · Fax (407) 359-8364

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, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D0974491

Seminole Sports & Family Medicine PA · Oviedo, FL
Active · expires Jun 7, 2028
CLIA Number10D0974491
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorMatthew H. Rosen
Laboratory Phone(407) 359-8580
Laboratory LocationSeminole Sports & Family Medicine PA798 Executve Drive, Oviedo, FL 32765
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. KATHERINE LILLIAN CHAN MD
Family Medicine
798 EXECUTIVE DR
OVIEDO, FL 32765
Seminole County (407) 359-8580
DR. CHRIS ELLEN OGIN M.D.
Family Medicine
798 EXECUTIVE DR
OVIEDO, FL 32765
Seminole County (407) 359-8580
DR. MATTHEW H. ROSEN M.D.
Family Medicine
798 EXECUTIVE DR
OVIEDO, FL 32765
Seminole County (407) 359-8580

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 Seminole Sports & Family Medicine, PA's NPI number?

The NPI number for Seminole Sports & Family Medicine, PA is 1699953521. It was assigned to this organization in the NPPES registry on February 1, 2008.

Where is Seminole Sports & Family Medicine, PA located?

Seminole Sports & Family Medicine, PA is located at 798 Executive Dr, Oviedo, FL 32765. The listed phone number is (407) 359-8580.

What is Seminole Sports & Family Medicine, PA's specialty?

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

Does Seminole Sports & Family Medicine, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0974491) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seminole Sports & Family Medicine, PA accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Seminole Sports & Family Medicine, PA 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 Seminole Sports & Family Medicine, PA was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.