Individual provider · Type 1 NPI

Nurida Kemelbek Funk, MD

Student in an Organized Health Care Education/Training Program · Orlando, FL

NPI number 1104763127 Active

Practice location

2501 N Orange Ave Ste 235
Orlando, FL 32804-4659

Mailing address

229 Bayou Woods Dr NW
Fort Walton Beach, FL 32548-4316

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTRN44461 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104763127

Nurida Kemelbek Funk, MD's National Provider Identifier is 1104763127, issued on Apr 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Apr 29, 2026.