ORIGINS FUNCTIONAL MEDICINE LLC NPI 1164882437

NPI Information

NPI: 1164882437
Provider Name: ORIGINS FUNCTIONAL MEDICINE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
260 LOOKOUT PL STE 106
MAITLAND, FL
ZIP 32751
Phone: (407) 902-1942
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ORIGINS FUNCTIONAL MEDICINE, LLC is a family medicine in Maitland, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ORIGINS FUNCTIONAL MEDICINE, LLC NPI is 1164882437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

260 LOOKOUT PL STE 106
MAITLAND, FL
ZIP 32751-485
Phone: (407) 902-1942

The provider's authorized official is Linda Matteoli .
The authorized official title is Owner and has the following contact phone number (407) 902-4912.

The enumeration date for this NPI number is 3/1/2016 and was last updated on 3/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		OS13606	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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