| Orlando Family Medical Inc | |
|
931 W Oak St Ste 103 Kissimmee FL 34741-4973 | |
| (407) 931-0444 | |
| (407) 962-4446 |
| Full Name | Orlando Family Medical Inc |
|---|---|
| Speciality | General Practice |
| Location | 931 W Oak St Ste 103, Kissimmee, Florida |
| Authorized Official Name and Position | Juan J Garcia (PRES) |
| Authorized Official Contact | 4079224839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Family Medical Inc 931 W Oak St Ste 103 Kissimmee FL 34741-4973 Ph: (407) 931-0444 | Orlando Family Medical Inc 931 W Oak St Ste 103 Kissimmee FL 34741-4973 Ph: (407) 931-0444 |
| NPI Number | 1023119641 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 7416055454 |
|---|---|
| Medicare Enrollment ID | O20070614000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023119641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Damacio Pagan Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811965890 PECOS PAC ID: 1658308838 Enrollment ID: I20130923000460 |
| Provider Name | Aquiles M Alvarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699797423 PECOS PAC ID: 4385729284 Enrollment ID: I20131015001651 |
| Provider Name | Raquel Roman Robles |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942440748 PECOS PAC ID: 4486979259 Enrollment ID: I20150219001167 |
| Provider Name | Gilfredy Acevedo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114997699 PECOS PAC ID: 2961651419 Enrollment ID: I20151222002007 |
| Provider Name | Emilio Jimenez Arocho |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730140377 PECOS PAC ID: 8820051584 Enrollment ID: I20160125000727 |
| Provider Name | Yomayra Rodriguez Marin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205276953 PECOS PAC ID: 1557636800 Enrollment ID: I20171012000988 |
| Provider Name | Sasha M Ramirez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306897764 PECOS PAC ID: 0749508869 Enrollment ID: I20190116000053 |
| Provider Name | Ana M Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609931914 PECOS PAC ID: 3375586381 Enrollment ID: I20200107000892 |
| Provider Name | Tatiana Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528581113 PECOS PAC ID: 1557791902 Enrollment ID: I20200427000049 |
| Provider Name | Paulette Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528672284 PECOS PAC ID: 3375946775 Enrollment ID: I20210722002274 |
| Provider Name | Ninoshka Velez Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417555970 PECOS PAC ID: 1658776802 Enrollment ID: I20210825003682 |
| Provider Name | Minely Martinez Velazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841376902 PECOS PAC ID: 3678678331 Enrollment ID: I20211109001877 |
| Provider Name | Lynnette Lallave Cortes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962022152 PECOS PAC ID: 9436563616 Enrollment ID: I20220808001265 |
| Provider Name | Evelin Mojica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083347207 PECOS PAC ID: 9638552334 Enrollment ID: I20220812001561 |
| Provider Name | Edwin Rivera Segarra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467058115 PECOS PAC ID: 9436564978 Enrollment ID: I20221104001239 |
| Provider Name | Yamil Alberto Carlo Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588270748 PECOS PAC ID: 9931570249 Enrollment ID: I20230125000387 |
| Provider Name | Yaneris Colon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689392938 PECOS PAC ID: 2860865177 Enrollment ID: I20230308000801 |
| Provider Name | Ruben J Flores Agrait |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427703610 PECOS PAC ID: 8426437641 Enrollment ID: I20240529001266 |
| Provider Name | Franky Louis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356020747 PECOS PAC ID: 6002358215 Enrollment ID: I20240603003950 |
| Provider Name | Marcos Gomez Reynoso |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558483461 PECOS PAC ID: 3072764497 Enrollment ID: I20240604002478 |
| Provider Name | Antonio Ressy-diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285311993 PECOS PAC ID: 0244772374 Enrollment ID: I20240605000312 |
| Provider Name | Luis M Hernandez Reyes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588412589 PECOS PAC ID: 0143763466 Enrollment ID: I20240614002558 |
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