PRIMARY CARE SPECIALISTS LLC (NPI# 1124002613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124002613 |
Entity Type | Organization |
Organization Name | PRIMARY CARE SPECIALISTS LLC |
Practice Address |
11140 W Colonial Dr Suite 1 Ocoee FL 34761-3300 |
Practice Telephone | 4078772111 |
Practice Fax Number | 4078777571 |
Mailing Telephone | 4078772111 |
Mailing Fax Number | 4078777571 |
Enumeration Date | 2005-11-30 |
Last Update Date | 2010-01-06 |
Authorized Official Name | GERALD J KIVETT (PARTNER) |
Authorized Official Telephone | 4072759014 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | PRIMARY CARE SPECIALISTS LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS GROUP | 24506F | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518473800 | Primary Care Specialists LLC | Family Medicine | 2740 W Foster Ave Ste 101, Chicago, IL 60625-3547 | 2017-12-21 |
1114901691 | Primary Care Specialists LLC | Family Medicine | 5540 E Grant St, Suite A, Orlando, FL 32822-1668 | 2005-11-30 |
1033192539 | Primary Care Specialists LLC | Family Medicine | 4711 Curry Ford Rd, Orlando, FL 32812-2704 | 2005-11-29 |
1649253378 | Primary Care Specialists LLC | Family Medicine | 7479 Conroy Rd, Suite A, Orlando, FL 32835-2771 | 2005-11-28 |
1215910864 | Primary Care Specialists LLC | Family Medicine | 3100 S Conway Rd, Orlando, FL 32812-7331 | 2005-11-28 |
1912980632 | Primary Care Specialists LLC | Internal Medicine | 3615 S Orange Ave, Orlando, FL 32806-6216 | 2005-11-28 |
1245213982 | Primary Care Specialists LLC | Family Medicine | 8793 Commodity Cir, Orlando, FL 32819-9005 | 2005-11-28 |
1487849824 | Primary Care Specialists LLC | Family Medicine | 60 W Gore St, Orlando, FL 32806-1141 | 2007-09-10 |
1831395797 | Primary Care Specialists LLC | Family Medicine | 508 N Mills Ave, Suite D, Orlando, FL 32803-5353 | 2007-06-26 |
1366647661 | Primary Care Specialists LLC | Family Medicine | 1800 Mercy Dr, Ste 104, Orlando, FL 32808-5646 | 2007-06-18 |
Street Address |
11140 W COLONIAL DR SUITE 1 |
City | OCOEE |
State | FL |
Zip Code | 34761-3300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205116456 | Physician Associates LLC | Family Medicine | 11140 W Colonial Dr, Suite 1, Ocoee, FL 34761-3300 | 2011-08-19 |
1033221411 | Tina Bruefach | Physician Assistant | 11140 W Colonial Dr, #3, Ocoee, FL 34761-3300 | 2006-08-31 |
1669432399 | Sally Miller | Nurse Practitioner | 11140 W Colonial Dr, Suite 2, Ocoee, FL 34761-3300 | 2006-03-25 |
1639147259 | Dva Renal Healthcare Inc | Clinic/Center | 11140 W Colonial Dr, Ste 5, Ocoee, FL 34761-3300 | 2006-03-09 |
1518932953 | Steven Lee Brint | Internal Medicine | 11140 W Colonial Dr, Ste 2, Ocoee, FL 34761-3300 | 2006-02-21 |
1386619708 | Orlando Fl Endoscopy Asc LLC | Clinic/Center | 11140 W Colonial Dr, Suite 3, Ocoee, FL 34761-3300 | 2006-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033736186 | Alyson Foisy | Behavior Technician | 2930 Maguire Road, Suite 200, Ocoee, FL 34761 | 2020-07-05 |
1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
1912533027 | Fm Dental, LLC | Clinic/Center | 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 | 2020-03-20 |
1518509330 | Noel Christine Montoya | Behavior Technician | 2930 Maguire Rd Suite 200, Ocoee, FL 34761 | 2019-10-14 |
1346895166 | Dentists of Ocoee, Pa | Dentist | 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 | 2019-08-08 |
1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
1740844422 | Angela Renee's Home Care LLC | In Home Supportive Care | 2398 Cory Ct, Ocoee, FL 34761 | 2019-04-27 |
1346713492 | Orlando Health Central, Inc. | Skilled Nursing Facility | 1300 Hempel Avenue, Ocoee, FL 34761 | 2019-01-10 |
1609352970 | Agape's Way, Inc | Nursing Care | 1851 Sparkling Water Circle, Ocoee, FL 34761 | 2018-07-19 |
Find all providers in zip 34761 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679056311 | Osama Ansari LLC | Internal Medicine | 1551 Boren Dr Ste B, Ocoee, FL 34761-2966 | 2018-09-10 |
1780167304 | Seniorcare Usa LLC | Internal Medicine | 2716 Rew Cir Ste 100, Ocoee, FL 34761-4201 | 2018-09-10 |
1235515990 | Quantumcare Medical, Sports & Injury LLC | Internal Medicine | 1151 Blackwood Ave. Ste.170, Ocoee, FL 34761 | 2015-08-05 |
1770929333 | Bradley Polk Walk In Clinic | Internal Medicine | 119 White Water Dr, Ocoee, TN 37361-3645 | 2013-05-21 |
1518252212 | Roshan Ashokkumar Patel | Internal Medicine | 10000 W Colonial Dr Ste 394, Ocoee, FL 34761-3433 | 2011-06-10 |
1811900954 | Magdalena G. Beltre | Internal Medicine | 8849 W Colonial Dr, Ocoee, FL 34761-6951 | 2006-08-13 |
1457361685 | Juan Luis Delgado | Internal Medicine | 9580 W Colonial Dr, Ocoee, FL 34761-6947 | 2006-08-09 |
1164498051 | Adnan Khan | Internal Medicine | 2716 Rew Cir, Suuite 100, Ocoee, FL 34761-4201 | 2006-02-28 |
1497721385 | Truc T Tran | Internal Medicine | 10000 W Colonial Dr Ste 184, Ocoee, FL 34761-3434 | 2006-02-28 |
1225011885 | Thomas H Wentzell | Internal Medicine | 11140 W Colonial Dr Ste 1, Ocoee, FL 34761-3300 | 2005-11-28 |
Find all providers in OCOEE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.