Origins Functional Medicine, LLC
Origins Functional Medicine, LLC is a Family Medicine Physician in Maitland, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
260 Lookout Pl Ste 106Maitland, FL 32751-4485
Phone: (407) 902-1942
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence OS13606 (FL) |
|---|
Record details
| NPI number | 1164882437 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Linda Matteoli — Owner · (407) 902-4912 |
| NPI enumerated | March 1, 2016 |
| Last updated in NPPES | March 1, 2016 |
| Mailing address | 260 Lookout Pl Ste 106, Maitland, FL 32751-4485 |
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