Active NPI
Carlos L De Orduna, MD
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME69748
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250329800 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME69748 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalia Medical Centers LLC | Current | Accepting new patients | |
| Vitalief Medical Center Inc | Current | Accepting new patients | |
| Elite Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Healthcare Spot, LLC | Family Medicine | Past | 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.
-
- Clinic/Center
- Orlando, FL
- NPI 1912706102
-
- Clinic/Center
- Orlando, FL
- NPI 1508531153
-
- Family Medicine Physician
- Orlando, FL
- NPI 1962181966
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1871160325
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.