NPIMap

Organization Active NPI

Orlando Family Physicians, LLC

  • General Practice Physician
  • Debary, FL
National Provider Identifier
1972171809
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ORLANDO FAMILY PHYSICIANS, LLC
Practice address
21 S Charles Richard Beall Blvd
Debary, FL 32713-3332
Phone
(386) 516-0930
Fax
(833) 450-5406
NPI assigned
Jun 16, 2021
Organization subpart
Yes
Parent organization
ORLANDO FAMILY PHYSICIANS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
David Brown
Title
Secretary
Phone
(303) 518-0877

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

21 S Charles Richard Beall Blvd
Debary, FL 32713-3332

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 343-6833

Other identifiers 1

IdentifierTypeStateIssuer
101312502MedicaidFL

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
10D2118914Orlando Family Physicians LLC21 South Charles R Beall Blvd, Debary, FL 32713Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Orlando Family Physicians LLC22 organizations share this tax ID, including this one
Part of
Orlando Family Physicians LLC

Other organizations with this tax ID 21

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

View all 21

Locations

21 S Charles Richard Beall Blvd
Debary, FL 32713
Phone (386) 516-0930

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1972171809",
    "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": "321-343-6833",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S CHARLES RICHARD BEALL BLVD",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133332",
            "telephone_number": "386-516-0930",
            "fax_number": "833-450-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO FAMILY PHYSICIANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORLANDO FAMILY PHYSICIANS, LLC",
        "enumeration_date": "2021-06-16",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "303-518-0877"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101312502",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.