Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cicatrix of Winter Park LLC

Organization Family Medicine Physician · NPI 1518848969

Cicatrix of Winter Park LLC is a Family Medicine Physician in Winter Park, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1270 Orange Ave Ste D1
Winter Park, FL 32789-4946
Phone: (407) 587-5559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1518848969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Ewbank — Owner · (407) 449-2645
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address1270 Orange Ave Ste D1, Winter Park, FL 32789-4946

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