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ZAMZAM WELLNESS LLC
NPI 1700692670
Clinic/Center - Primary Care in Winter Park, FL

Active since December 05, 2024CLIA 10D2296202 · Microscopy
1400 S ORLANDO AVE STE 210, WINTER PARK, FL 32789(407) 409-8807(407) 557-4885 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Zamzam Wellness Llc NPPES

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

ZAMZAM WELLNESS LLC (NPI 1700692670), doing business as Zamzam Wellness, is a healthcare organization registered as a primary care in Winter Park, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Microscopy certificate valid through December 21, 2027 and lists Dominique Dilorenzo, Owner/ Physician, as its authorized official.

NPPES Registry Identity

NPI1700692670
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameZAMZAM WELLNESS LLC
Location Address1400 S ORLANDO AVE STE 210Winter Park, FL 32789-5543
Mailing Address1400 S Orlando Ave Ste 210Winter Park, FL 32789-5543 · (407) 409-8807 · Fax (407) 557-4885
Phone(407) 409-8807
Fax(407) 557-4885
Organization SubpartNo
Authorized OfficialDominique DilorenzoOwner/ Physician · (407) 409-8807
Enumeration DateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1700692670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1400 S ORLANDO AVE STE 210, Winter Park, FL 32789
Open in Google Maps ↗

Other Names 1

Doing Business AsZamzam Wellness

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zamzam Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Zamzam Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dominique Dilorenzo, MD
Family Practice
NPI 1275910481
1400 S ORLANDO AVE STE 210
Winter Park, FL 32789
(407) 409-8807
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 10D2296202

Zamzam Wellness LLC · Winter Park, FL
Active · expires Dec 21, 2027
CLIA Number10D2296202
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorDominique A. Dilorenzo
Laboratory Phone(407) 409-8807
Laboratory LocationZamzam Wellness LLC1400 South Orlando Ave Suite 210, Winter Park, FL 32789
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Zamzam Wellness LLC's NPI number?

The NPI number for Zamzam Wellness LLC is 1700692670. It was assigned to this organization in the NPPES registry on December 5, 2024. The provider is doing business as Zamzam Wellness.

Where is Zamzam Wellness LLC located?

Zamzam Wellness LLC is located at 1400 S Orlando Ave Ste 210, Winter Park, FL 32789. The listed phone number is (407) 409-8807.

What is Zamzam Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Zamzam Wellness LLC enrolled in Medicare?

Yes. Zamzam Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Zamzam Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Zamzam Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Zamzam Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2296202) is associated with this NPI, valid through December 21, 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 Zamzam Wellness LLC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.