MEDICARE: DR. LORRAINE HOYOS KENNEDY MD

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
1	207Q00000X	Family Medicine Physician	164931	FL

General Provider Information

NPI Number	:	1417697137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORRAINE HOYOS KENNEDY MD

Provider Business Mailing Address
First Line	:	4630 S KIRKMAN RD STE 35434419
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-2833
Country	:	US
Telephone Number	:	407-900-6042
Fax Number	:

Provider Business Practice Location Address
First Line	:	4630 S KIRKMAN RD STE 35434419
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-2833
Country	:	US
Telephone Number	:	407-900-6042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	12/05/2025

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