Individual provider Active NPI

Maray Moldon, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1669057147
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012092 Issued in FL
Practice address
1501 S Semoran Blvd
Orlando, FL 32807-2919
Phone
(407) 587-7552
Fax
(833) 450-5422
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 APRN11012092 FL Primary

Addresses

Primary practice location

1501 S Semoran Blvd
Orlando, FL 32807-2919

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (407) 382-1376

Other identifiers 2

IdentifierTypeStateIssuer
127213300MedicaidFL
APRN11012092OtherFLFL MEDICAL LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112001091 FL Practitioner - Nurse Practitioner 8527419639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

1501 S Semoran Blvd
Orlando, FL 32807-2919
Phone (407) 587-7552

1502 Village Oak LN
Kissimmee, FL 34746-6558
Phone (407) 520-3588

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC CurrentSince Aug 4, 2025 Accepting new patients
Guidewell Sanitas I, LLC Family Medicine CurrentSince Dec 8, 2023 Accepting new patients
Orlando Family Physicians, LLC Family Medicine CurrentSince Aug 4, 2025 Accepting new patients
Orlando Family Physicians, LLC Past Accepting new patients
Orlando Family Physicians, LLC Family Medicine PastSince Jun 1, 2021 Accepting new patients
Idelis Fedeslinda Arias de la Torre Family Medicine PastSince Jun 1, 2021 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

1130 S Semoran Blvd
Ste B
Orlando, FL 32807
Phone (407) 382-1376

11750 E Colonial Dr
Ste 100
Orlando, FL 32817

1501 S Semoran Blvd
Orlando, FL 32807
Phone (407) 587-7552

1130 S Semoran Blvd
Ste Bc
Orlando, FL 32807
Phone (407) 382-1376

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: maray.moldon.1@27472.direct.athenahealth.com

Organizations & group practices 6

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1669057147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "407-382-1376",
            "fax_number": "833-450-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328072919",
            "telephone_number": "407-587-7552",
            "fax_number": "833-450-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDON",
        "first_name": "MARAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127213300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "APRN11012092",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.