| Orlando Family Practice Care Pa | |
|
10967 Lake Underhill Rd Ste 122 Orlando FL 32825-4457 | |
| (407) 282-3131 | |
| (407) 282-3139 |
| Full Name | Orlando Family Practice Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10967 Lake Underhill Rd, Orlando, Florida |
| Authorized Official Name and Position | Zoila Elizabeth Jorro (OWNER) |
| Authorized Official Contact | 4072823131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Family Practice Care Pa 10967 Lake Underhill Rd Ste 122 Orlando FL 32825-4457 Ph: (407) 282-3131 | Orlando Family Practice Care Pa 10967 Lake Underhill Rd Ste 122 Orlando FL 32825-4457 Ph: (407) 282-3131 |
| NPI Number | 1689765265 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 8921108176 |
|---|---|
| Medicare Enrollment ID | O20070717000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689765265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9308 (Florida) | Primary |
| Provider Name | Zoila E Jorro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134161441 PECOS PAC ID: 5193742641 Enrollment ID: I20051025000234 |
| Provider Name | Kimberly Viruet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548709850 PECOS PAC ID: 6002151909 Enrollment ID: I20181221000107 |
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