MEDICARE: WINTER HAVEN FAMILY PRACTICE, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	ME90989	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528427150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINTER HAVEN FAMILY PRACTICE, PA

Provider Business Mailing Address
First Line	:	1130 1ST ST S
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-3903
Country	:	US
Telephone Number	:	863-229-7486
Fax Number	:	863-280-6614

Provider Business Practice Location Address
First Line	:	1130 1ST ST S
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-3903
Country	:	US
Telephone Number	:	863-229-7486
Fax Number	:	863-280-6614

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAIME ABUAN
Credential	:	M.D.
Telephone Number	:	863-229-7486

Provider Enumeration Date	:	02/10/2016
Last Update Date	:	09/27/2016

Similar Medicare Providers

1841403771 — MRS. AMANDA LOVETT THOMPSON MMP, LMT,
Practice Location Address:

1132 1ST ST S
WINTER HAVEN, FL
33880-3903

Practice Phone: 863-294-8468
Practice Fax:

1629883020 — DESHALA S ROBINSON
Practice Location Address:

1138 1ST ST S
WINTER HAVEN, FL
33880-3903

Practice Phone: 863-333-5303
Practice Fax:

1477358539 — HB3 BEAUTY LUXE
Practice Location Address:

1138 1ST ST S
WINTER HAVEN, FL
33880-3903

Practice Phone: 863-333-5303
Practice Fax:

1427120203 — HAWA PHARMACY INC
Practice Location Address:

646 S DILLARD ST
WINTER GARDEN, FL
34787-3903

Practice Phone: 407-656-0081
Practice Fax: 407-656-0147

1639245921 — JESSENIA ZAPATA-PALMER OTR/L
Practice Location Address:

630 S DILLARD ST
WINTER GARDEN, FL
34787-3903

Practice Phone: 407-905-0531
Practice Fax: 407-905-0532

1932761913 — CIERRA L WOODS RBT
Practice Location Address:

3903 SUTTON PLACE BLVD APT 503
WINTER PARK, FL
32792-8459

Practice Phone: 904-309-3189
Practice Fax:

Directions to “WINTER HAVEN FAMILY PRACTICE, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.