Organization Active NPI

Eden Medical Clinic

  • Gerontology Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1134857683
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
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

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Babara FrancisNPI 1437597655
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)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20221031000179 FL Part B Supplier - Clinic/Group Practice 0840667176 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.