| Origins Functional Medicine, Llc | |
|
260 Lookout Pl Ste 106 Maitland FL 32751-4485 | |
| (407) 902-1942 | |
| Not Available |
| Full Name | Origins Functional Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 260 Lookout Pl Ste 106, Maitland, Florida |
| Authorized Official Name and Position | Linda Matteoli (OWNER) |
| Authorized Official Contact | 4079024912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origins Functional Medicine, Llc 260 Lookout Pl Ste 106 Maitland FL 32751-4485 Ph: (407) 902-1942 | Origins Functional Medicine, Llc 260 Lookout Pl Ste 106 Maitland FL 32751-4485 Ph: (407) 902-1942 |
| NPI Number | 1164882437 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164882437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS13606 (Florida) | Primary |
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