Individual provider Active NPI

Felix R Marichal, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1326080581
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90689 Issued in FL
Practice address
11602 Lake Underhill Rd
Suite 115 & 116
Orlando, FL 32825-4458
Phone
(407) 802-4655
Fax
(407) 802-4721
NPI assigned
Jun 12, 2006
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME90689 FL Primary

Addresses

Primary practice location

11602 Lake Underhill Rd
Suite 115 & 116
Orlando, FL 32825-4458

Mailing address

11602 Lake Underhill Rd
Suite 115 & 116
Orlando, FL 32825-4458
Phone (407) 802-4655

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
I20041111000840 FL Practitioner - General PracticePractitioner - Family Practice 6002879871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11602 Lake Underhill Rd
Suite 115
Orlando, FL 32825-4459
Phone (407) 802-4655

11602 Lake Underhill Rd
Suite 115 and 116
Orlando, FL 32825-4458

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Felix R. Marichal, MD PA General Practice CurrentSince Aug 1, 2006 Accepting new patients
Felix R Marichal MD PA General Practice Current Accepting new patients
A Advance Medical Group General Practice Past Accepting new patients
Physicians Medical and Injury Group East Orlando PastSince Dec 17, 2017 Accepting new patients

Locations

11602 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 277-5400

11602 Lake Underhill Rd
Ste 115
Orlando, FL 32825
Phone (407) 802-4655

11602 Lake Underhill Rd
Ste 115116
Orlando, FL 32825

7163 University Blvd
Winter Park, FL 32792
Phone (321) 441-4944

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDEAD/Endpoint/GCDEAD

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, 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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1326080581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD",
            "address_2": "SUITE 115 & 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254458",
            "telephone_number": "407-802-4655",
            "fax_number": "407-802-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD",
            "address_2": "SUITE 115 & 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254458",
            "telephone_number": "407-802-4655",
            "fax_number": "407-802-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICHAL",
        "first_name": "FELIX",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.