Healthcare Provider Details

I. General information

NPI: 1972644631
Provider Name (Legal Business Name): ALAFAYA WOODS FAMILY MEDICAL CENTER P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 ALAFAYA WOODS BLVD
OVIEDO FL
32765-6241
US

IV. Provider business mailing address

110 ALAFAYA WOODS BLVD STE A
OVIEDO FL
32765-4000
US

V. Phone/Fax

Practice location:
  • Phone: 407-366-3577
  • Fax: 407-366-2646
Mailing address:
  • Phone: 407-366-3577
  • Fax: 407-366-2646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW ROCKER
Title or Position: DO
Credential:
Phone: 407-366-3577