Northwest Family Health Center
Family Medicine in Orlando, FL. Organization (NPI-2).
NPI number1750838041
StatusActive
Last updated in NPPESOct 16, 2020
Details
- NPI
- 1750838041
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Family Health Center
- Organization subpart
- No
- Enumeration date
- Sep 6, 2016
- Certification date
- Oct 16, 2020
- Last updated
- Oct 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME128359 | FL | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | – | – | |
| 163WE0003X | Registered Nurse, Emergency | – | – | |
| 208D00000X | General Practice | ACN675 | FL | |
| 2279C0205X | Respiratory Therapist, Registered, Critical Care | – | – | |
| 2279E0002X | Respiratory Therapist, Registered, Emergency Care | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Northwest Urgent Care (Doing Business As)
Practice location
5844 N Orange Blossom TrlOrlando, FL 32810-1025
Phone 407-602-1100 · Fax 407-219-4221
Mailing address
Po Box 951306Lake Mary, FL 32795-1306
Phone 407-602-1100 · Fax 407-219-4221
Authorized official
Garry B Antoine
President & Ceo
4077685773
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