Active NPI
Central Florida Family Medical Group
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1073622247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CENTRAL FLORIDA FAMILY MEDICAL GROUP
- Practice address
- 1170 S Semoran Blvd
Suite a
Orlando, FL 32807-1458 - Phone
- (407) 281-9105
- Fax
- (407) 281-9305
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Reyes
- Title
- C.F.O
- Phone
- (407) 281-9105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FL | Primary |
Addresses
Primary practice location
1170 S Semoran Blvd
Suite a
Orlando, FL 32807-1458
Mailing address
1170 S Semoran Blvd
Suite a
Orlando, FL 32807-1458
Phone (407) 281-9105
National Provider Directory
National Provider DirectoryLocations
1170 S Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 281-9105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1073622247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 S SEMORAN BLVD",
"address_2": "SUITE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328071458",
"telephone_number": "407-281-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 S SEMORAN BLVD",
"address_2": "SUITE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328071458",
"telephone_number": "407-281-9105",
"fax_number": "407-281-9305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA FAMILY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "C.F.O",
"authorized_official_telephone_number": "407-281-9105"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Central Florida Family Health Center, Inc. (True Health)
- Central Florida Family Health Center, Inc. (True Health)
- Central Florida Family Health Center, Inc.
- Central Florida Family Health Center, Inc. (True Health)
- Central Florida Family HLTH Ctr
- Central Florida Foot & Ankle Specialists PA
- Central Florida Geriatric Psychiatry Inc
- Central Florida Health and Recovery Center LLC
- Central Florida Health and Rehab
- Central Florida Health Clinics, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.