FAMILY PHYSICIAN GROUP (NPI# 1184701740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184701740 |
| Entity Type | Organization |
| Organization Name | FAMILY PHYSICIAN GROUP |
| Practice Address |
6320 Old Winter Garden Rd Orlando FL 32835-1381 |
| Mailing Address |
3391 S Kirkman Rd Apt #1223 Orlando FL 32811-1943 |
| Practice Telephone | 4078224350 |
| Mailing Telephone | 4078224350 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VIJAYALAKSHMI POLAVARAPU (HOSPITALIST) |
| Authorized Official Telephone | 4072811755 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | ME#91019 | FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043600257 | Family Physician Group | Family Medicine | 15301 Tireman Ave, Suite A, Dearborn, MI 48126-1045 | 2015-01-26 |
| Street Address |
6320 OLD WINTER GARDEN RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753287 | Sabrina P Gmerek-pettus | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2005-10-07 |
| 1790227494 | Nicole A Bridgman | Registered Nurse | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2016-11-11 |
| 1356731715 | Dorothy Dawn Baldovino Ibasco | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2015-01-23 |
| 1194088666 | Michele T Roberts-perkins | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2012-06-20 |
| 1063713436 | Amy Sue Barton | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2010-11-16 |
| 1487825808 | Arnold W Fleischmann | Internal Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2008-03-13 |
| 1477741817 | Rodrigo Pontes Pereira | Family Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2007-10-11 |
| 1124197439 | Annam M Manchery | Nurse Practitioner | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-11-08 |
| 1386721579 | Mohamed G Mohamed | Family Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-11-01 |
| 1912935008 | Family Physicians of Winter Park, Inc. | Family Medicine | 6320 Old Winter Garden Rd, Orlando, FL 32835-1381 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193664 | Central Florida Health Services, LLC | General Acute Care Hospital | 6700 Lake Nona Blvd, Orlando, FL 32827-7729 | 2020-10-29 |
| 1316498033 | Orlando Health | General Acute Care Hospital | 946 S Bumby Ave, Orlando, FL 32806-1538 | 2016-10-18 |
| 1558706887 | Gina Petrakos | General Acute Care Hospital | 8242 Lexington View Ln, Orlando, FL 32835-8055 | 2013-04-30 |
| 1205106184 | Adventist Health System Sunbelt Inc | General Acute Care Hospital | 2005 N Orange Ave, Orlando, FL 32804-5532 | 2012-01-09 |
| 1447447495 | Pran M Kar Mdpa | General Acute Care Hospital | 514 W Columbia St, Suite#2, Orlando, FL 32805-3803 | 2007-10-03 |
| 1033239991 | Florida Hospital | General Acute Care Hospital | 3565 S Magnolia Ave, Orlando, FL 32806-6279 | 2007-04-01 |
| 1073526018 | Juan Sauer, Md, Pa | General Acute Care Hospital | 1802 Bellevue Ave Ste 102, Orlando, FL 32806-2933 | 2006-08-14 |
| 1649714478 | Florida Hospital | General Acute Care Hospital | 601 E Rollins Street, Orlando, FL 32803 | 2016-12-13 |
| 1922453521 | Florida Hospital | General Acute Care Hospital | 601 E Rollins St, Orlando, FL 32803-1248 | 2016-05-02 |
| 1992177158 | Reynaldo Ferrer | General Acute Care Hospital | 2501 N Orange Ave, Suite 537n, Orlando, FL 32804-4603 | 2015-10-28 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.