| Orlando Family Physicians, Llc | |
|
810 N Nowell St Orlando FL 32808-7539 | |
| (407) 290-9556 | |
| (407) 290-9509 |
| Full Name | Orlando Family Physicians, Llc |
|---|---|
| Speciality | General Practice |
| Location | 810 N Nowell St, Orlando, Florida |
| Authorized Official Name and Position | Penelope Kokkinides (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 3213326947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Family Physicians, Llc 6900 Tavistock Lakes Blvd Ste 300 Orlando FL 32827-7592 Ph: (321) 332-6947 | Orlando Family Physicians, Llc 810 N Nowell St Orlando FL 32808-7539 Ph: (407) 290-9556 |
| NPI Number | 1003488768 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 02/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003488768 | NPI | - | NPPES |
| 101312509 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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