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Organization
WINTER PARK FAMILY HEALTH CENTER INC
Active
Organization
WINTER PARK FAMILY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LORIN SHAW MD (PRESIDENT)
(407) 679-9222
Entity
Organization
Contact information
Practice address
2304 ALOMA AVE STE 100, WINTER PARK, FL 32792-3330
(407) 679-9222
(407) 679-9061
Mailing address
2304 ALOMA AVE, 100, WINTER PARK, FL 32792-3330
(407) 679-9222
(407) 679-9061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316213507
NPI FOR LINDSEY NEWMAN DEFRESNE, DO
FL
01
—
1639373962
DR. PRISKA'S NPI
MI
01
—
1922099555
RONALD L SHAW MD NPI
FL
01
—
40471
WINTER PARK MEDICARE GROUP NUMBER
FL
01
—
47663Y
RONALD L. SHAW MD MEDICARE PTAN
FL
01
—
48983Z
RONALD STANISH MD
FL
Enumeration date
12/06/2005
Last updated
06/09/2015
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