Winter Park Family Physicians Llc | |
5745 Canton Cv Suite 121 Winter Springs FL 32708-5012 | |
(407) 647-2550 | |
(407) 647-0616 |
Full Name | Winter Park Family Physicians Llc |
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Speciality | Family Medicine |
Location | 5745 Canton Cv, Winter Springs, Florida |
Authorized Official Name and Position | Ahmad B Amawi (PRESIDENT) |
Authorized Official Contact | 4076472550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Winter Park Family Physicians Llc P.o. Box 180898 Casselberry FL 32718-0898 Ph: (407) 647-2550 | Winter Park Family Physicians Llc 5745 Canton Cv Suite 121 Winter Springs FL 32708-5012 Ph: (407) 647-2550 |
NPI Number | 1538619952 |
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Provider Enumeration Date | 10/10/2016 |
Last Update Date | 02/14/2017 |
Medicare PECOS PAC ID | 5698058980 |
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Medicare Enrollment ID | O20170213000029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538619952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME92346 (Florida) | Primary |
207R00000X | Internal Medicine | ME112530 (Florida) | Secondary |
Provider Name | Kyme D Clinton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265429047 PECOS PAC ID: 9830170802 Enrollment ID: I20040526000415 |
Provider Name | Ahmad B Amawi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194761916 PECOS PAC ID: 7315994597 Enrollment ID: I20050331000683 |
Provider Name | Firas B Amawi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346261468 PECOS PAC ID: 2062308398 Enrollment ID: I20070521000566 |
Provider Name | Ivan Bolivar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619985645 PECOS PAC ID: 0749340859 Enrollment ID: I20081119000601 |
Provider Name | Robert A Schamberger |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003816844 PECOS PAC ID: 4385707157 Enrollment ID: I20090106000519 |
Provider Name | Sadia Ijlaluddin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912177023 PECOS PAC ID: 2668628322 Enrollment ID: I20120813000242 |
Provider Name | Hammam Ghiyas Kemeh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912137639 PECOS PAC ID: 5597914036 Enrollment ID: I20120927000337 |
Provider Name | Christopher Kempf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033461603 PECOS PAC ID: 1850545625 Enrollment ID: I20130201000099 |
Provider Name | Imad M Tahbub |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639482391 PECOS PAC ID: 0648412791 Enrollment ID: I20130820000440 |
Provider Name | Ayham Mouawad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417261611 PECOS PAC ID: 6103069166 Enrollment ID: I20130823000912 |
Provider Name | Donna Ann Ball |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447660527 PECOS PAC ID: 5799097986 Enrollment ID: I20150630002562 |
Provider Name | Elisa Carniel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881740470 PECOS PAC ID: 2961569074 Enrollment ID: I20160628002805 |
Provider Name | Kimiben V Gandhi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639512130 PECOS PAC ID: 5294014379 Enrollment ID: I20161112000088 |
Provider Name | Kimberly D O'brien |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568970861 PECOS PAC ID: 3476815515 Enrollment ID: I20180329000935 |
Provider Name | Sheryl A Frost |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528417011 PECOS PAC ID: 5294084752 Enrollment ID: I20180817000159 |
Provider Name | Cheng Chung Chow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811540685 PECOS PAC ID: 1759714215 Enrollment ID: I20191213002262 |
Provider Name | Mohamad Sharbatji |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1982076816 PECOS PAC ID: 0840555678 Enrollment ID: I20220823001741 |
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Ahmad B Amawi, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5745 Canton Cv Ste 121, Winter Springs, FL 32708 Phone: 407-647-2550 |