WINTER PARK FAMILY PRACTICE LLC
NPI 1740268929
Family Medicine in Maitland, FL

Active since January 06, 2006CLIA 10D1046385 · Waiver
541 S ORLANDO AVE STE 204, MAITLAND, FL 32751(407) 647-4008(407) 647-3207 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Winter Park Family Practice Llc NPPES

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

WINTER PARK FAMILY PRACTICE LLC (NPI 1740268929), doing business as Family Practice Of Winter Park, is a healthcare organization registered as a family medicine in Maitland, Florida and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Varesh R Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1740268929
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWINTER PARK FAMILY PRACTICE LLC
Location Address541 S ORLANDO AVE STE 204Maitland, FL 32751-5669
Mailing Address541 S Orlando Ave Ste 204Maitland, FL 32751-5669 · (407) 647-4008 · Fax (407) 647-3207
Fax(407) 647-3207
Organization SubpartNo
Authorized OfficialVaresh R PatelOwner · (407) 647-4008
Enumeration DateJanuary 6, 2006
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
NPI 1740268929 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.
541 S ORLANDO AVE STE 204, Maitland, FL 32751

Other Names 1

Doing Business AsFamily Practice Of Winter Park

Other Identifiers 1

OtherDQ6581FL · Railroad Medicare

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

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 10D1046385

Winter Park Family Practice LLC · Winter Park, FL
Active · expires Oct 5, 2027
CLIA Number10D1046385
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorKevin Radbill Do
Laboratory Phone(407) 647-4008
Laboratory LocationWinter Park Family Practice LLC1400 S Orlando Ave #204, Winter Park, FL 32789
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

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

Physician Assistant (Medical)
541 S ORLANDO AVE STE 204
MAITLAND, FL 32751

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 Winter Park Family Practice LLC's NPI number?

The NPI number for Winter Park Family Practice LLC is 1740268929. It was assigned to this organization in the NPPES registry on January 6, 2006. The provider is doing business as Family Practice of Winter Park.

Where is Winter Park Family Practice LLC located?

Winter Park Family Practice LLC is located at 541 S Orlando Ave Ste 204, Maitland, FL 32751. The listed phone number is (407) 647-4008.

What is Winter Park Family Practice LLC's specialty?

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

Does Winter Park Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1046385) is associated with this NPI, valid through October 5, 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 Winter Park Family Practice LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.