Individual provider Active NPI

Fredna Endrot, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1134813322
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1618 Issued in FL
Practice address
6210 W Colonial Dr Ste 100
Orlando, FL 32808-7504
Phone
(407) 931-0444
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1618 FL Primary
General Practice Physician 208D00000X 23672 PR

Addresses

Primary practice location

6210 W Colonial Dr Ste 100
Orlando, FL 32808-7504

Mailing address

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

Other practice location 1

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Other practice location 5

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

Other practice location 6

2685 SW 32nd Pl Ste 100
Ocala, FL 34471-7863
Phone (407) 931-0444

Other practice location 7

900 Towne Center Dr
Kissimmee, FL 34759-3470
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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627002745 FL Practitioner - General Practice 8820532146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Family Medical IncGroup PAC ID 7416055454, 36 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23672PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Medical Inc General Practice CurrentSince Apr 21, 2024 Accepting new patients
Orlando Family Medical Inc General Practice CurrentSince Apr 14, 2024 Accepting new patients
Orlando Family Medical Inc General Practice PastSince Aug 1, 2021 Accepting new patients
Tampa Family Health Centers Inc Past Accepting new patients

Locations

3130 Citrus Tower Blvd
Clermont, FL 34711

2330 North Blvd W
Davenport, FL 33837

931 W Oak St
Ste 103
Kissimmee, FL 34741
Phone (407) 922-4839

1115 N John Young Pkwy
Kissimmee, FL 34741

900 Towne Center Dr
Kissimmee, FL 34759

2685 SW 32nd Pl
Ste 100
Ocala, FL 34471
Phone (352) 732-9643

6210 W Colonial Dr
Ste 100
Orlando, FL 32808

5425 S Semoran Blvd
Ste 7C
Orlando, FL 32822

5249 Conway Rd
Orlando, FL 32812

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1134813322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 W COLONIAL DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087504",
            "telephone_number": "407-931-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414973",
            "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": "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": "2685 SW 32nd Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717863",
            "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": "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": {
        "last_name": "ENDROT",
        "first_name": "FREDNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1618",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.