Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Tree Medical Group, PA

Organization Pediatrics Physician · NPI 1609243989

Family Tree Medical Group, PA is a Pediatrics Physician in Kissimmee, Florida. Works from 3 locations. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1150 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone: (407) 483-3200
Fax: (407) 483-3220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2201 North Blvd W Ste 2, Davenport, FL 33837-8990 — (863) 353-1246
  • 1050 W Carroll St Ste 2, Kissimmee, FL 34741-1268 — (407) 201-3348

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1609243989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Pantoja — Ceo · (407) 483-3200
NPI enumeratedAugust 21, 2015
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address1150 Cypress Glen Cir, Kissimmee, FL 34741-7560

Other providers in Kissimmee