Organization Active NPI

Family Medical Group Orlando LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1003796871
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL GROUP ORLANDO LLC
Practice address
7824 Lake Underhill Rd Ste I
Orlando, FL 32822-8201
Phone
(407) 601-1210
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ileana Collado
Title
Director Operations
Phone
(786) 971-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7824 Lake Underhill Rd Ste I
Orlando, FL 32822-8201

Mailing address

12391 SW 130TH St
Miami, FL 33186-6208

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1003796871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12391 SW 130TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD STE I",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "407-601-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL GROUP ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "786-971-8016"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.