# ADIA MED OF WINTER PARK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528953247
- **Authorized official:** LARRY POWALISZ (CEO/OWNER)
- **Authorized official phone:** (321) 231-2843

## Contact information

- **Practice address:** 1561 W FAIRBANKS AVE STE 205, WINTER PARK, FL 32789-4678
- **Practice address phone:** (321) 231-2843
- **Mailing address:** 4421 GABRIELLA LN, WINTER PARK, FL 32792-6325
- **Mailing address phone:** (321) 231-2843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2025
- **Last updated:** 06/11/2025