Individual provider Active NPI

Jose Abel Fernandez Marimon, NP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1649108846
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11048366 Issued in FL
Practice address
7550 Futures Dr Ste 104
Orlando, FL 32819-9096
Phone
(407) 978-6400
NPI assigned
May 11, 2026
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11048366 FL Primary

Addresses

Primary practice location

7550 Futures Dr Ste 104
Orlando, FL 32819-9096

Mailing address

7550 Futures Dr Ste 104
Orlando, FL 32819-9096
Phone (407) 978-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9672094FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Medical Clinic LLC CurrentSince Aug 17, 2026 Accepting new patients

Locations

1952 E Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 350-5700

1960 E Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 348-0399

7550 Futures Dr
Ste 104
Orlando, FL 32819
Phone (407) 978-6400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1649108846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 FUTURES DR STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199096",
            "telephone_number": "407-978-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FUTURES DR STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199096",
            "telephone_number": "407-978-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MARIMON",
        "first_name": "JOSE",
        "middle_name": "ABEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11048366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.