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Organization

ORLANDO FAMILY PHYSICIANS, LLC

Active
Parent organization
ORLANDO FAMILY PHYSICIANS, LLC
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
790 BUENAVENTURA BLVD, KISSIMMEE, FL 34743-8128
(407) 344-9959
(407) 344-9971
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 332-6947
(407) 286-4515

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101312514
FL
Enumeration date
06/16/2021
Last updated
10/18/2024
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