NPIMap

Organization Active NPI

Orlando Family Physicians, LLC

  • Internal Medicine Physician
  • Titusville, FL
National Provider Identifier
1457027658
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ORLANDO FAMILY PHYSICIANS, LLC
Practice address
2185 Cheney Hwy Ste a
Titusville, FL 32780-6700
Phone
(321) 269-9800
NPI assigned
Aug 18, 2021
Organization subpart
Yes
Parent organization
ORLANDO FAMILY PHYSICIANS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Gladys M Nunez
Title
Billing Manager
Phone
(407) 486-2159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2185 Cheney Hwy Ste a
Titusville, FL 32780-6700

Mailing address

6900 Tavistock Lakes Blvd Ste 300
Orlando, FL 32827-7592
Phone (321) 269-9800

Other names 1

  • Shreeji Medical Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0894818Orlando Family Physicians LLC2185 Cheney Hwy Suite a, Titusville, FL 32780Certificate of waiverNov 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Innovacare Central Florida Physicians LLC7 organizations share this tax ID, including this one
Part of
Orlando Family Physicians LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1457027658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277592",
            "telephone_number": "321-269-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 CHENEY HWY STE A",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806700",
            "telephone_number": "321-269-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO FAMILY PHYSICIANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORLANDO FAMILY PHYSICIANS, LLC",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "407-486-2159"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shreeji Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shreeji Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.