BRENDA DEFORREST OD PA
NPI 1477733780
Clinic/Center in Orlando, FL

Active since November 05, 2007
5006 DR PHILLIPS BLVD, ORLANDO, FL 32819(407) 289-8819(407) 296-7121 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brenda Deforrest Od Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA DEFORREST OD PA (NPI 1477733780) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since November 2007. The organization lists Brenda Deforrest, President, as its authorized official.

NPPES Registry Identity

NPI1477733780
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBRENDA DEFORREST OD PA
Location Address5006 DR PHILLIPS BLVDOrlando, FL 32819-3310
Mailing Address5006 Dr Phillips BlvdOrlando, FL 32819-3310 · (407) 289-8819 · Fax (407) 296-7121
Fax(407) 296-7121
Organization SubpartNo
Authorized OfficialBrenda DeforrestPresident · (407) 298-8819
Enumeration DateNovember 5, 2007
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
NPI 1477733780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · FL2617
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5006 DR PHILLIPS BLVD, Orlando, FL 32819

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
5006 DR PHILLIPS BLVD
ORLANDO, FL 32819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Deforrest Od PA's NPI number?

The NPI number for Brenda Deforrest Od PA is 1477733780. It was assigned to this organization in the NPPES registry on November 5, 2007.

Where is Brenda Deforrest Od PA located?

Brenda Deforrest Od PA is located at 5006 Dr Phillips Blvd, Orlando, FL 32819. The listed phone number is (407) 289-8819.

What is Brenda Deforrest Od PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Brenda Deforrest Od PA was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.