=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689765265
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORLANDO FAMILY PRACTICE CARE PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2006
-----------------------------------------------------
Last Update Date | 05/31/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10967 LAKE UNDERHILL RD STE 122
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32825-4457
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-282-3131
-----------------------------------------------------
Fax | 407-282-3139
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10967 LAKE UNDERHILL RD STE 122
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32825-4457
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-282-3131
-----------------------------------------------------
Fax | 407-282-3139
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ZOILA ELIZABETH JORRO
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 407-282-3131
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | OS9308
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------