Organization
ADIA MED OF WINTER PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY POWALISZ (CEO/OWNER)
(321) 231-2843
Entity
Organization
Contact information
Practice address
1561 W FAIRBANKS AVE STE 205, WINTER PARK, FL 32789-4678
(321) 231-2843
Mailing address
4421 GABRIELLA LN, WINTER PARK, FL 32792-6325
(321) 231-2843
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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