Organization
FAMILY MEDICAL GROUP ORLANDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA COLLADO (DIRECTOR OPERATIONS)
(786) 971-8016
Entity
Organization
Contact information
Practice address
7824 LAKE UNDERHILL RD STE I, ORLANDO, FL 32822-8201
(407) 601-1210
Mailing address
12391 SW 130TH ST, MIAMI, FL 33186-6208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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