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Organization

ORLANDO FAMILY PHYSICIANS, LLC

Active
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Organization

ORLANDO FAMILY PHYSICIANS, LLC

Active
Parent organization
ORLANDO FAMILY PHYSICIANS, LLC
Other names
Waters Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORLANDO FAMILY PHYSICIANS, LLC
Authorized official
PENELOPE KOKKINIDES (CHIEF ADMINISTRATIVE OFFICER)
(201) 270-7825
Entity
Organization

Contact information

Practice address
8408 N GRADY AVE, TAMPA, FL 33614-1907
(813) 885-9091
(813) 324-1133
Mailing address
6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 32827-7592
(321) 332-6947

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/04/2022
Last updated
08/16/2024
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