DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ORLANDO FAMILY PHYSICIANS, LLC

MEDICARE: ORLANDO FAMILY PHYSICIANS, LLC
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
1207Q00000XFamily Medicine Physician
2208D00000XGeneral Practice Physician

Other Identifiers

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

General Provider Information

NPI Number : 1477121309
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORLANDO FAMILY PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 321-332-6947
Fax Number : 407-286-4515
Provider Business Practice Location Address
First Line : 790 BUENAVENTURA BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34743-8128
Country : US
Telephone Number : 407-344-9959
Fax Number : 407-344-9971
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : PENELOPE KOKKINIDES
Credential :
Telephone Number : 201-270-7825
Provider Enumeration Date : 06/16/2021
Last Update Date : 10/18/2024

Similar Medicare Providers

1104861269 — SOILA EBERLINE GUERRERO-SANTANA MD
Practice Location Address:
780 BUENAVENTURA BLVD
KISSIMMEE, FL
34743-8128
Practice Phone: 407-344-9959
Practice Fax: 407-344-9971
1881875029 — DR. YADIRA PEREZ MD
Practice Location Address:
790 BUENAVENTURA BLVD
KISSIMMEE, FL
34743-8128
Practice Phone: 407-344-9959
Practice Fax: 407-344-9971
1396229100 — JOSE L COMAS
Practice Location Address:
780 BUENAVENTURA BLVD
KISSIMMEE, FL
34743-8128
Practice Phone: 407-201-5922
Practice Fax: 407-344-9971
1275002883 — ALEJANDRO LAZARO MOLINA APRN
Practice Location Address:
780 BUENAVENTURA BLVD
KISSIMMEE, FL
34743-8128
Practice Phone: 407-274-9590
Practice Fax: 407-593-6102
1720558364 — VANESSA FRANKLIN APRN, FNP-BC
Practice Location Address:
780 BUENAVENTURA BLVD
KISSIMMEE, FL
34743-8128
Practice Phone: 407-344-9959
Practice Fax: 407-344-9971
1306409784 — DR. JOSE LUIS VARGAS-MASSARI MD
Practice Location Address:
780 BUENAVENTURA BLVD
KISSIMMEE, FL
34743-8128
Practice Phone: 407-274-9590
Practice Fax: 407-593-6102

Directions to “ORLANDO FAMILY PHYSICIANS, LLC ” 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.