WATERFORD PARK FAMILY MEDICINE
NPI 1922271261
Family Medicine in Orlando, FL

Active since April 08, 2008
12301 LAKE UNDERHILL RD, SUITE 219, ORLANDO, FL 32828(407) 249-3077 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waterford Park Family Medicine NPPES

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

WATERFORD PARK FAMILY MEDICINE (NPI 1922271261) is a healthcare organization registered as a family medicine in Orlando, Florida and active in the NPI registry since April 2008. The organization lists Ronlald Mallonee, Owner, as its authorized official.

NPPES Registry Identity

NPI1922271261
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWATERFORD PARK FAMILY MEDICINE
Location Address12301 LAKE UNDERHILL RD, SUITE 219Orlando, FL 32828-4508
Mailing AddressPo Box 781789Orlando, FL 32878-1789 · (407) 249-3077
Organization SubpartNo
Authorized OfficialRonlald MalloneeOwner · (407) 249-3077
Enumeration DateApril 8, 2008
Last NPPES UpdateOctober 23, 2008
NPI 1922271261 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 · OS6833
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.
12301 LAKE UNDERHILL RD, Orlando, FL 32828

Other Identifiers 1

Medicare UPIND93060FL

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

Other Providers at the Same Location NPPES 17

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

Physical Therapist
12301 LAKE UNDERHILL RD
ORLANDO, FL 32828
General Practice
12301 LAKE UNDERHILL RD, STE 215
ORLANDO, FL 32828
Optometrist (Vision Therapy)
12301 LAKE UNDERHILL RD, SUITE 236
ORLANDO, FL 32828
Chiropractor
12301 LAKE UNDERHILL RD, SUITE 254
ORLANDO, FL 32828
Optometrist (Vision Therapy)
12301 LAKE UNDERHILL RD, SUITE 236
ORLANDO, FL 32828
Physical Medicine & Rehabilitation
12301 LAKE UNDERHILL RD, SUITE 121
ORLANDO, FL 32828
Physical Therapist (Orthopedic)
12301 LAKE UNDERHILL RD, SUITE 118
ORLANDO, FL 32828
Home Health
12301 LAKE UNDERHILL RD, SUITE 265
ORLANDO, FL 32828

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 Waterford Park Family Medicine's NPI number?

The NPI number for Waterford Park Family Medicine is 1922271261. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Waterford Park Family Medicine located?

Waterford Park Family Medicine is located at 12301 Lake Underhill Rd Suite 219, Orlando, FL 32828. The listed phone number is (407) 249-3077.

What is Waterford Park Family Medicine's specialty?

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

When was this NPI record last updated?

The NPPES record for Waterford Park Family Medicine was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.