Individual provider Active NPI

Orlando Mota-Aquino, MD

  • Pediatrics Physician
  • Lake Mary, FL
National Provider Identifier
1215270764
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME116121 Issued in FL
Practice address
725 Rodel CV Ste 100
Lake Mary, FL 32746-4859
Phone
(407) 302-3130
Fax
(407) 302-3132
NPI assigned
Apr 3, 2013
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME116121 FL Primary

Addresses

Primary practice location

725 Rodel CV Ste 100
Lake Mary, FL 32746-4859

Mailing address

725 Rodel CV Ste 100
Lake Mary, FL 32746-4859
Phone (407) 302-3130

Other practice location 1

1403 Medical Plaza Dr
Suite 104
Sanford, FL 32771-1000
Phone (407) 302-1550

Other identifiers 1

IdentifierTypeStateIssuer
008856000MedicaidFL

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
I20231012003928 FL Practitioner - Pediatric Medicine 5799130621

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Nov 1, 2023 Accepting new patients
Greater Orlando Orthopedic Group PastSince May 4, 2025 Accepting new patients
Orlando Physicians Network Inc PastSince May 4, 2025 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1215270764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RODEL CV STE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3130",
            "fax_number": "407-302-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RODEL CV STE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3130",
            "fax_number": "407-302-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Medical Plaza Dr",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711000",
            "country_code": "US",
            "telephone_number": "407-302-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTA-AQUINO",
        "first_name": "ORLANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME116121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008856000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.