PRIMARY CARE SPECIALISTS LLC (NPI# 1912980632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912980632 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE SPECIALISTS LLC |
| Practice Address |
3615 S Orange Ave Orlando FL 32806-6216 |
| Practice Telephone | 4078552526 |
| Practice Fax Number | 4078551503 |
| Mailing Telephone | 4078552526 |
| Mailing Fax Number | 4078551503 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2011-11-18 |
| 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 |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAIL ROAD MEDICARE | DC3239 | 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 |
| 1124002613 | Primary Care Specialists LLC | Internal Medicine | 11140 W Colonial Dr, Suite 1, Ocoee, FL 34761-3300 | 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 |
| 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 |
3615 S ORANGE AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740559939 | Primary Care Specialists of Orlando LLC | Family Medicine | 3615 S Orange Ave, Orlando, FL 32806-6216 | 2011-12-19 |
| 1588811624 | Allison Lynn Barnes | Family Medicine | 3615 S Orange Ave, Orlando, FL 32806-6216 | 2008-08-20 |
| 1689658155 | David F Cowan | Family Medicine | 3615 S Orange Ave, Orlando, Orlando, FL 32806-6216 | 2005-11-30 |
| 1508840083 | Paul H Hutschenreuter | Physician Assistant | 3615 S Orange Ave, Orlando, FL 32806-6216 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484336 | Rw Family Practice & Preventive Care, LLC. | Family Medicine | 6735 Conroy Rd Ste 418, Orlando, FL 32835-3566 | 2020-07-20 |
| 1750906855 | Ashleigh Kittel | Family Medicine | 646 W Smith St Unit 506, Orlando, FL 32804-5383 | 2020-06-15 |
| 1962031633 | Annuel Lebrun | Family Medicine | 5317 Curry Ford Rd Apt K202, Orlando, FL 32812-7209 | 2020-04-05 |
| 1427699610 | Orlando Wellness | Family Medicine | 2909 N Orange Ave Ste 112a, Orlando, FL 32804-4639 | 2019-09-30 |
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1649820267 | Florida Advanced Primary, Urgent & Holistic Medicine LLC | Family Medicine | 8931 Heritage Bay Cir, Orlando, FL 32836-5026 | 2019-09-16 |
| 1023664968 | Vera Lee Ahmad | Family Medicine | 18731 Sabal St, Orlando, FL 32833-5268 | 2019-08-15 |
| 1457912081 | Adventist Health System/sunbelt, Inc. | Family Medicine | 9637 Lake Nona Village Pl, Orlando, FL 32827-7319 | 2019-06-25 |
| 1639737273 | Adedeji A Onitiri | Family Medicine | 11750 E Colonial Dr Ste 100, Orlando, FL 32817-4656 | 2019-05-29 |
| 1962068783 | Health & Wellness Place | Family Medicine | 7363 W Colonial Dr, Orlando, FL 32818-6507 | 2019-05-16 |
| Find all providers in ORLANDO | ||||
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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.