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

Winter Park Internal Medicine MD PA

Organization Internal Medicine Physician · NPI 1679599278

Winter Park Internal Medicine MD PA is an Internal Medicine Physician in Winter Park, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1855 Hollywood Ave
Winter Park, FL 32789-4093
Phone: (407) 645-2334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1679599278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Mancini — President · (407) 645-2334
NPI enumeratedJuly 15, 2006
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020
Mailing address1855 Hollywood Avenue, Winter Park, FL 32789-4093

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