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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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1538835103
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORLANDO FAMILY PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 6900 TAVISTOCK LAKES BLVD STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7592
Country : US
Telephone Number : 813-200-7717
Fax Number : 813-985-8500
Provider Business Practice Location Address
First Line : 9740 N 56TH ST STE B
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-5500
Country : US
Telephone Number : 813-200-7717
Fax Number : 813-985-8500
Authorized Official
Title or Position : BILLING MANAGER
Name : GLADYS M NUNEZ
Credential :
Telephone Number : 407-486-2159
Provider Enumeration Date : 08/23/2021
Last Update Date : 12/12/2022

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Directions to “ORLANDO FAMILY PHYSICIANS, LLC ” Practice Location

Language Start Address Practice Location
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