# ORLANDO FAMILY PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORLANDO FAMILY PHYSICIANS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730757659
- **Legal business name:** ORLANDO FAMILY PHYSICIANS, LLC
- **Authorized official:** DWIGHT PEREZ (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (321) 332-6947

## Contact information

- **Practice address:** 5979 VINELAND RD STE 209, ORLANDO, FL 32819-7855
- **Practice address phone:** (407) 627-0066
- **Practice address fax:** (407) 440-4054
- **Mailing address:** 121 S ORANGE AVE STE 940, ORLANDO, FL 32801-3234
- **Mailing address phone:** (321) 332-6947
- **Mailing address fax:** (407) 286-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 08/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101312513 | — | FL |