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

Nutmeg Holdings LLC

Organization Clinic/Center · NPI 1619132867

Nutmeg Holdings LLC is a Clinic/Center in Orlando, Florida. Registered with an NPI since 2008.

In the registry since
2008
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

1459 Lake Baldwin Ln Ste A
Orlando, FL 32814-6741
Phone: (407) 893-3905
Fax: (407) 893-3906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1619132867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official S Bouaziz — Manager / Director · (407) 893-3905
Other names Lake Baldwin Medical
NPI enumeratedJuly 26, 2008
Last updated in NPPESMarch 9, 2012
Mailing addressPo Box 149374, Orlando, FL 32814-9374

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