Healthcare Provider Details

I. General information

NPI: 1407020837
Provider Name (Legal Business Name): ALILIN FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7221 ALOMA AVE SUITE 200
WINTER PARK FL
32792-7119
US

IV. Provider business mailing address

7221 ALOMA AVE SUITE 200
WINTER PARK FL
32792-7119
US

V. Phone/Fax

Practice location:
  • Phone: 407-657-2111
  • Fax: 866-725-4812
Mailing address:
  • Phone: 407-657-2111
  • Fax: 866-725-4812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NICOLE LOZANO
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 407-657-2111