Orlando Freedom Medical Clinic, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ORLANDO FREEDOM MEDICAL CLINIC, INC

Practice address

331 N Maitland Ave Ste D2
Maitland, FL 32751-4755

Phone

(407) 636-4100

Fax

(407) 636-4126

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Reppy, DO

Title

Owner/Provider

Phone

(407) 636-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1023601259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE STE D2",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514755",
            "telephone_number": "407-636-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE STE D2",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514755",
            "telephone_number": "407-636-4100",
            "fax_number": "407-636-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO FREEDOM MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "REPPY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "407-636-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP DEPARTMENT OF LABOR",
            "identifier": "716944700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Lillian Opron, PTA
• Origins Functional Medicine, LLC
• Orlando Advanced Primary Care LLC
• Orlando Behahavioral Healthcare
• Orlando Family Counseling, Inc.
• Orlando Myofascial Release L.L.C.
• Orlando Physicians Network Inc
• Orlando Physicians Network Inc
• Orlando Physicians Network Inc
• Merline Orphe, B.A

• Clinic/Center in Maitland, FL
• Providers in Maitland, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.