FLORIDA OMM GROUP LLC NPI 1609653617

NPI Information

  • NPI: 1609653617
  • Provider Name: FLORIDA OMM GROUP LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 826 W LYMAN AVE
    WINTER PARK, FL
    ZIP 32789
  • Phone: (407) 341-2854

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NPI Details

FLORIDA OMM GROUP LLC is a medical specialty clinic center in Winter Park, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). FLORIDA OMM GROUP LLC NPI is 1609653617. The provider is registered as an organization entity type.

The provider's business location address is:

826 W LYMAN AVE
WINTER PARK, FL
ZIP 32789-132
Phone: (407) 341-2854

The provider's authorized official is Mark Applegate .
The authorized official title is Physician Owner and has the following contact phone number (407) 341-2854.

The enumeration date for this NPI number is 9/12/2023 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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