Individual provider Active NPI

Carlos L De Orduna, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1376597765
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69748 Issued in FL
Practice address
5979 Vineland Rd Ste 206
Orlando, FL 32819-7855
Phone
(407) 352-9300
Fax
(407) 351-6509
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME69748 FL Primary

Addresses

Primary practice location

5979 Vineland Rd Ste 206
Orlando, FL 32819-7855

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

Other practice location 1

829 E Oak St Ste C
Kissimmee, FL 34744-5829
Phone (407) 352-9300

Other identifiers 1

IdentifierTypeStateIssuer
250329800MedicaidFL

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
I20100927000940 FL Practitioner - Family PracticePractitioner - Internal Medicine 7911023049 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69748FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalia Medical Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Vitalief Medical Center Inc CurrentSince Jan 14, 2025 Accepting new patients
Elite Medical Associates, LLC Family Medicine CurrentSince May 30, 2024 Accepting new patients
Healthcare Spot, LLC Family Medicine PastSince Oct 1, 2021 Accepting new patients

Locations

1456 S Semoran Blvd
Orlando, FL 32807
Phone (321) 800-6123

1650 Sand Lake Rd
Ste 114A
Orlando, FL 32809
Phone (321) 800-6123

5979 Vineland Rd
Ste 206
Orlando, FL 32819
Phone (407) 352-9300

1287 N Semoran Blvd
Ste 300
Orlando, FL 32807
Phone (407) 249-3005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1376597765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197855",
            "telephone_number": "407-352-9300",
            "fax_number": "407-351-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 E Oak St Ste C",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445829",
            "country_code": "US",
            "telephone_number": "407-352-9300",
            "fax_number": "407-351-6509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE ORDUNA",
        "first_name": "CARLOS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250329800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.