CENTRAL FLORIDA BREAST CENTER, PA – Surgery Physician, NPI 1306872767

CENTRAL FLORIDA BREAST CENTER, PA is a healthcare provider. based in Winter park, Florida. specializing in Surgery Physician. The organization holds a License No. OS0006978 (FL). The NPI Number for CENTRAL FLORIDA BREAST CENTER, PA is 1306872767

Main info

Organization
Name
CENTRAL FLORIDA BREAST CENTER, PA
NPI
1306872767
Phone
(407) 740-5127
Address
2200 GLENWOOD DR
Authorized Official
MR. AZIZ SHAHBUDDIN JASANI ADMINISTRATOR M.B.A.
Enumeration Date
25 June 2006
Last Update Date
25 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CENTRAL FLORIDA BREAST CENTER, PA

  • 2200, Glenwood Drive, Winter Park, Orange County, Florida, 32792, United States

    SUITE 201

    WINTER PARK, FL 327923315

    Phone: (407) 740-5127

    Fax: (407) 740-0827

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1049 days ago).

Enrollment records

1

Earliest due date

2023-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060213000399OClinic/Group PracticeFL2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32792)

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Reviews

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Frequently asked questions

Can I cross-check CENTRAL FLORIDA BREAST CENTER, PA using NPI 1306872767?
NPI 1306872767 belongs to CENTRAL FLORIDA BREAST CENTER, PA; compare other details if you need extra assurance.
Would CENTRAL FLORIDA BREAST CENTER, PA appear as active to a payer?
You can treat CENTRAL FLORIDA BREAST CENTER, PA as active for directory purposes; confirm clinical privileges separately.
How would a patient describe CENTRAL FLORIDA BREAST CENTER, PA's focus?
For CENTRAL FLORIDA BREAST CENTER, PA, the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Is CENTRAL FLORIDA BREAST CENTER, PA associated with Winter Park?
Public fields place CENTRAL FLORIDA BREAST CENTER, PA around Winter Park, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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