Provider Demographics
NPI:1023805777
Name:HGM ORLANDO LLC
Entity type:Organization
Organization Name:HGM ORLANDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBI
Authorized Official - Suffix:
Authorized Official - Credentials:MGR
Authorized Official - Phone:407-978-0721
Mailing Address - Street 1:1312 AXEL GRAESON AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5282
Mailing Address - Country:US
Mailing Address - Phone:407-978-0721
Mailing Address - Fax:407-978-0721
Practice Address - Street 1:2291 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3311
Practice Address - Country:US
Practice Address - Phone:407-978-0721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty