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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
1208D00000XGeneral 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 : 1568563187
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 : 407-658-9687
Fax Number :
Provider Business Practice Location Address
First Line : 6336 W COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32818-7812
Country : US
Telephone Number : 407-658-9687
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : DAVID BROWN
Credential :
Telephone Number : 303-518-0877
Provider Enumeration Date : 09/26/2006
Last Update Date : 01/03/2025

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1578773271 — DR. LESLIE KATHERINE GARCIA RIVERA MD
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1083870521 — YARITZA SALGADO M.D.
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Directions to “ORLANDO FAMILY PHYSICIANS, LLC ” Practice Location

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