Cicatrix of Winter Park LLC
NPI 1518848969 · Surgical Physician Assistant · Winter Park, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cicatrix of Winter Park LLC is a Surgical Physician Assistant organization in Winter Park, FL (NPI 1518848969).
Provider details
- NPI number
- 1518848969
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeremy Ewbank, Owner(407) 449-2645
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-09-11
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Frequently asked questions
- What is Cicatrix of Winter Park LLC's NPI number?
- Cicatrix of Winter Park LLC's National Provider Identifier (NPI) is 1518848969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cicatrix of Winter Park LLC?
- Cicatrix of Winter Park LLC is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cicatrix of Winter Park LLC located?
- Cicatrix of Winter Park LLC's practice location on file with NPPES is 1270 Orange Ave Ste D1, Winter Park, FL 32789-4946.
- What is Cicatrix of Winter Park LLC's phone number?
- The practice phone number listed in the NPPES registry for Cicatrix of Winter Park LLC is (407) 587-5559.
- Does Cicatrix of Winter Park LLC accept Medicare?
- Cicatrix of Winter Park 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 Cicatrix of Winter Park LLC?
- The authorized official listed on Cicatrix of Winter Park LLC's NPPES record is Jeremy Ewbank, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cicatrix of Winter Park LLC's NPI active?
- Yes — Cicatrix of Winter Park LLC's NPI (1518848969) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.