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Organization
NORTHWEST FAMILY HEALTH CENTER
Active
Organization
NORTHWEST FAMILY HEALTH CENTER
Active
Other names
Northwest Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY B ANTOINE MD (PRESIDENT & CEO)
(407) 768-5773
Entity
Organization
Contact information
Practice address
5844 N ORANGE BLOSSOM TRL, ORLANDO, FL 32810-1025
(407) 602-1100
(407) 219-4221
Mailing address
PO BOX 951306, LAKE MARY, FL 32795-1306
(407) 602-1100
(407) 219-4221
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
—
—
163WE0003X
Emergency Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
ME128359
FL
208D00000X
General Practice Physician
ACN675
FL
2279C0205X
Critical Care Registered Respiratory Therapist
—
—
2279E0002X
Emergency Care Registered Respiratory Therapist
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015253600
—
FL
05
—
01955724
—
NY
05
—
101655000
—
FL
Enumeration date
09/06/2016
Last updated
10/16/2020
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