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

Good Shepherd Primary Care, PA

Organization Family Medicine Physician · NPI 1306048343

Good Shepherd Primary Care, PA is a Family Medicine Physician in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

1170 S Semoran Blvd Ste D
Orlando, FL 32807-1458
Phone: (407) 282-4142
Fax: (407) 282-7475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0066465 (FL)

Record details

NPI number1306048343
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maribel Aviles — President · (407) 282-4142
NPI enumeratedJune 1, 2007
Last updated in NPPESJuly 18, 2007
Mailing address1170 S Semoran Blvd, Suite D, Orlando, FL 32807-1458

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