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

Phoenix Integrated Medical Center

Organization Nurse Practitioner · NPI 1578119723

Phoenix Integrated Medical Center is a Nurse Practitioner in Winter Park, Florida. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2425 Lee Rd
Winter Park, FL 32789-1747
Phone: (407) 637-8300
Fax: (407) 637-8301
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1578119723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Troy Yeomans — Manager · (321) 695-6747
NPI enumeratedAugust 14, 2019
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address890 N Phelps Ave, Winter Park, FL 32789-2759

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