Active NPI
Orlando Portal MD Inc
- Internal Medicine Physician
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME100005
- Legal business name
- ORLANDO PORTAL MD INC
- Practice address
- 13150 Vail Ridge Dr
Riverview, FL 33579-7187 - Phone
- (813) 374-8883
- Fax
- (813) 443-8361
- NPI assigned
- May 8, 2014
- Last updated
- Mar 6, 2026
- 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
- Orlando Portal, M.D.
- Title
- Owner & President
- Phone
- (813) 374-8883
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME100005 | FL | Primary |
Addresses
Primary practice location
13150 Vail Ridge Dr
Riverview, FL 33579-7187
Mailing address
219 Flamingo Dr PMB 3695
Apollo Beach, FL 33572-7000
Phone (813) 374-8883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2080999 | Orlando Portal MD Inc | Certificate of waiver | Jul 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Riverview, FL
- NPI 1366626111
-
- Family Nurse Practitioner
- Wesley Chapel, FL
- NPI 1851860670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772755200000",
"number": "1346651650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 FLAMINGO DR PMB 3695",
"city": "APOLLO BEACH",
"state": "FL",
"postal_code": "335727000",
"telephone_number": "813-374-8883",
"fax_number": "813-443-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13150 VAIL RIDGE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797187",
"telephone_number": "813-374-8883",
"fax_number": "813-443-8361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO PORTAL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-08",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A",
"authorized_official_last_name": "PORTAL",
"authorized_official_first_name": "ORLANDO",
"authorized_official_title_or_position": "OWNER & PRESIDENT",
"authorized_official_telephone_number": "813-374-8883",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME100005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.