| Orlando Family Physicians, Llc | |
|
780 Buenaventura Blvd Kissimmee FL 34743-8128 | |
| (407) 274-9590 | |
| (407) 344-9971 |
| Full Name | Orlando Family Physicians, Llc |
|---|---|
| Speciality | General Practice |
| Location | 780 Buenaventura Blvd, Kissimmee, 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 425 W Colonial Dr Ste 303 Orlando FL 32804-6863 Ph: (321) 332-6947 | Orlando Family Physicians, Llc 780 Buenaventura Blvd Kissimmee FL 34743-8128 Ph: (407) 274-9590 |
| NPI Number | 1679145163 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679145163 | NPI | - | NPPES |
| 101312507 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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