Organization Active NPI

Felix R. Marichal, MD PA

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1467487082
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC10641 Issued in FL
Legal business name
FELIX R. MARICHAL, MD PA
Practice address
11602 Lake Underhill Rd
Orlando, FL 32825-4458
Phone
(407) 802-4655
NPI assigned
Jul 12, 2006
Organization subpart
No

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

Authorized official

Name
Dr. Felix R Marichal, MDNPI 1326080581
Title
Owner,Director, President
Phone
(407) 802-4655

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X HCC10641 FL Primary

Addresses

Primary practice location

11602 Lake Underhill Rd
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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061115000108 FL Part B Supplier - Clinic/Group Practice 9739187352 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Tax ID family
Felix R Marichal MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

11602 Lake Underhill Rd
Ste 115116
Orlando, FL 32825

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

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1467487082",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254458",
            "telephone_number": "407-802-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIX R. MARICHAL, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "MARICHAL",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER,DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "407-802-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC10641",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.