Provider Demographics
NPI:1205906641
Name:FAMILY HEALTH CENTER OF GREATER ORLANDO P.A.
Entity type:Organization
Organization Name:FAMILY HEALTH CENTER OF GREATER ORLANDO P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:409-699-9511
Mailing Address - Street 1:2911 RED BUG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5929
Mailing Address - Country:US
Mailing Address - Phone:407-699-9511
Mailing Address - Fax:407-699-0267
Practice Address - Street 1:2911 RED BUG LAKE RD
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5929
Practice Address - Country:US
Practice Address - Phone:407-699-9511
Practice Address - Fax:407-699-0267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99699Medicare ID - Type Unspecified
FL99699Medicare PIN