Minier Waterford Lakes LLC
NPI 1417155730 · Urgent Care Clinic/Center · Orlando, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Minier Waterford Lakes LLC is a Urgent Care Clinic/Center organization in Orlando, FL (NPI 1417155730).
Provider details
- NPI number
- 1417155730
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sanford Boaz, Ceo(407) 257-5782
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-08
- Last updated
- 2008-06-05
Frequently asked questions
- What is Minier Waterford Lakes LLC's NPI number?
- Minier Waterford Lakes LLC's National Provider Identifier (NPI) is 1417155730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minier Waterford Lakes LLC?
- Minier Waterford Lakes LLC is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Minier Waterford Lakes LLC located?
- Minier Waterford Lakes LLC's practice location on file with NPPES is 12301 Lake Underhill Rd Ste 118, Orlando, FL 32828-4510.
- What is Minier Waterford Lakes LLC's phone number?
- The practice phone number listed in the NPPES registry for Minier Waterford Lakes LLC is (407) 249-8870.
- Does Minier Waterford Lakes LLC accept Medicare?
- Minier Waterford Lakes LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Minier Waterford Lakes LLC?
- The authorized official listed on Minier Waterford Lakes LLC's NPPES record is Sanford Boaz, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minier Waterford Lakes LLC's NPI active?
- Yes — Minier Waterford Lakes LLC's NPI (1417155730) is active in the NPPES registry as of the last update on 2008-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.