Organization Active NPI

Orlando Family Medical Inc

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1023119641
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ORLANDO FAMILY MEDICAL INC
Practice address
931 W Oak St Ste 103
Kissimmee, FL 34741-4973
Phone
(407) 931-0444
Fax
(407) 962-4446
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Juan J Garcia
Title
Pres
Phone
(407) 922-4839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

931 W Oak St Ste 103
Kissimmee, FL 34741-4973

Mailing address

931 W Oak St
Ste 103
Kissimmee, FL 34741-4973
Phone (407) 931-0444

Other practice location 1

6210 W Colonial Dr Ste 100
Orlando, FL 32808-7504
Phone (407) 931-0444

Other practice location 2

900 Towne Center Dr
Kissimmee, FL 34759-3470
Phone (407) 931-0444

Other practice location 3

5425 S Semoran Blvd Ste 7C
Orlando, FL 32822-1777
Phone (407) 931-0444

Other practice location 4

3130 Citrus Tower Blvd
Clermont, FL 34711-6801
Phone (407) 931-0444

Other practice location 5

5249 Conway Rd
Orlando, FL 32812-2202
Phone (407) 931-0444

Other practice location 6

2685 SW 32nd Pl
Ocala, FL 34471-7862
Phone (407) 931-0444

Other practice location 7

2330 North Blvd W
Davenport, FL 33837-8989
Phone (407) 931-0444

Other practice location 8

1115 N John Young Pkwy
Kissimmee, FL 34741-4209
Phone (407) 931-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000345 FL Part B Supplier - Clinic/Group Practice 7416055454 Receives reassigned benefits from 48 practitioners
Practice locations: Davenport, FL; Kissimmee, FL; Ocala, FL; Orlando, FL; Clermont, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1048864Orlando Family Medical Inc931 W Oak St Ste 103, Kissimmee, FL 34741Certificate of waiverDec 13, 2027
10D2206594Orlando Family Medical Inc3130 Citrus Tower, Clermont, FL 34711Certificate of waiverDec 20, 2026
10D2232489Orlando Family Medical Inc5249 S Conway Road, Orlando, FL 32812Certificate of waiverAug 12, 2027
10D2257574Orlando Family Medical, Inc2330 North Blvd W, Davenport, FL 33837Certificate of waiverApr 6, 2028
10D2296002Orlando Family Medical Inc2685 SW 32ND Place Suite 100, Ocala, FL 34471Certificate of waiverDec 19, 2027
10D2313519Orlando Family Medical Inc1115 N John Young Parkway, Kissimmee, FL 34741Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

3130 Citrus Tower Blvd
Clermont, FL 34711

2330 North Blvd W
Davenport, FL 33837

1115 N John Young Pkwy
Kissimmee, FL 34741

1718 Woolco Way
Orlando, FL 32822
Phone (407) 674-7886

9753 S Orange Blossom Trl
Ste 102
Orlando, FL 32837
Phone (407) 412-5985

6210 W Colonial Dr
Orlando, FL 32808

6210 W Colonial Dr
Ste 100
Orlando, FL 32808

5425 S Semoran Blvd
Ste 7C
Orlando, FL 32822

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1023119641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W OAK ST",
            "address_2": "STE 103",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414973",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 W OAK ST STE 103",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414973",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6210 W Colonial Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328087504",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Towne Center Dr",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593470",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5425 S Semoran Blvd Ste 7C",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221777",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 Citrus Tower Blvd",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116801",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5249 Conway Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328122202",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2685 SW 32nd Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717862",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 North Blvd W",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378989",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414209",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORLANDO FAMILY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "407-922-4839"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.