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
DWIGHT PEREZ (CREDENTIALING SPECIALIST)
(321) 332-6947
Entity
Organization
Contact information
Practice address
5979 VINELAND RD STE 209, ORLANDO, FL 32819-7855
(407) 627-0066
(407) 440-4054
Mailing address
121 S ORANGE AVE STE 940, ORLANDO, FL 32801-3234
(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
—
101312513
—
FL
Enumeration date
06/16/2021
Last updated
08/16/2024
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