Active NPI
Eden Medical Clinic
- Gerontology Nurse Practitioner
- Orlando, FL
National Provider Identifier
1134857683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- EDEN MEDICAL CLINIC
- Practice address
- 2295 S Hiawassee Rd Ste 104
Orlando, FL 32835-8748 - Phone
- (407) 545-6441
- Fax
- (407) 545-6421
- NPI assigned
- Aug 11, 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
- Babara Francis
- Title
- Owner of Entity
- Phone
- (407) 545-6441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
2295 S Hiawassee Rd Ste 104
Orlando, FL 32835-8748
Mailing address
4726 Bloodhound St
Orlando, FL 32818-8735
Phone (407) 545-6441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2295 S Hiawassee Rd
Ste 104
Orlando, FL 32835
Phone (407) 545-6441
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Orlando, FL
- NPI 1437597655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1134857683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4726 BLOODHOUND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328188735",
"telephone_number": "407-545-6441",
"fax_number": "407-545-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 S HIAWASSEE RD STE 104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328358748",
"telephone_number": "407-545-6441",
"fax_number": "407-545-6421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "FRANCIS",
"authorized_official_first_name": "BABARA",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "407-545-6441"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.