OrganizationActive
Origins Functional Medicine, LLC
NPI 1164882437 · Family Medicine Physician · Maitland, FL
Provider details
- NPI number
- 1164882437
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Linda Matteoli, Owner(407) 902-4912
- License
- OS13606 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
260 Lookout Pl Ste 106
Maitland, FL 32751-4485
Phone: (407) 902-1942
Street-level locationGet directions
Mailing address
260 Lookout Pl Ste 106
Maitland, FL 32751-4485
Registry dates
- Enumerated
- 2016-03-01
- Last updated
- 2016-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.