NPIMap

Organization Active NPI

Orlando Family Physicians, LLC

  • Internal Medicine Physician
  • Titusville, FL
National Provider Identifier
1023786126
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ORLANDO FAMILY PHYSICIANS, LLC
Practice address
1027 Garden St
Titusville, FL 32796-3302
Phone
(321) 383-3332
NPI assigned
Sep 2, 2021
Organization subpart
Yes
Parent organization
ORLANDO FAMILY PHYSICIANS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Gladys M Nunez
Title
Billing Manager
Phone
(407) 486-2159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1027 Garden St
Titusville, FL 32796-3302

Mailing address

1027 Garden St
Titusville, FL 32796-3302
Phone (321) 383-3332

Other names 1

  • Radha Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovacare Central Florida Physicians LLC7 organizations share this tax ID, including this one
Part of
Orlando Family Physicians LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1130 S Semoran Blvd
Ste B
Orlando, FL 32807
Phone (407) 382-1376

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1023786126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963302",
            "telephone_number": "321-383-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963302",
            "telephone_number": "321-383-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO FAMILY PHYSICIANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORLANDO FAMILY PHYSICIANS, LLC",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "407-486-2159"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radha Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radha Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.