| Orlando Family Physicians, Llc | |
|
21 S Charles Richard Beall Blvd Debary FL 32713-3342 | |
| (386) 516-0930 | |
| (386) 668-6897 |
| Full Name | Orlando Family Physicians, Llc |
|---|---|
| Speciality | General Practice |
| Location | 21 S Charles Richard Beall Blvd, Debary, Florida |
| Authorized Official Name and Position | Penelope Kokkinides (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 2012707825 |
| 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: () - | Orlando Family Physicians, Llc 21 S Charles Richard Beall Blvd Debary FL 32713-3342 Ph: (386) 516-0930 |
| NPI Number | 1972171809 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972171809 | NPI | - | NPPES |
| 101312502 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Potenciano Gonzales Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 386-668-8559 | |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713 Phone: 407-845-0330 | |
Premier Physician Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 301, Debary, FL 32713 Phone: 818-575-0204 | |
Florida Injury Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 N Pine Meadow Dr, Debary, FL 32713 Phone: 386-742-7312 | |
Humberto A Dominguez Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite A, Debary, FL 32713 Phone: 386-668-4411 Fax: 386-668-8688 | |
Spahana Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Spring Vista Dr, Debary, FL 32713 Phone: 386-279-3087 Fax: 386-516-6136 | |
Potenciano D Gonzales Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite B, Debary, FL 32713 Phone: 386-668-8559 Fax: 386-668-8560 |