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FAMILY HEALTH PRIMARY CARE PROVIDERS LLC NPI 1366001901


NPI Information

NPI: 1366001901
Provider Name: FAMILY HEALTH PRIMARY CARE PROVIDERS, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2259977

Address:
1800 PEMBROOK DR STE 300
ORLANDO, FL
ZIP 32810
Phone: (407) 814-4466
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FAMILY HEALTH PRIMARY CARE PROVIDERS, LLC is a family nurse practitioner in Orlando, FL. FAMILY HEALTH PRIMARY CARE PROVIDERS, LLC NPI is 1366001901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 PEMBROOK DR STE 300
ORLANDO, FL
ZIP 32810-378
Phone: (407) 814-4466

The provider's authorized official is Elizabeth Taylor .
The authorized official title is Manager and has the following contact phone number (407) 814-4466.

The CLIA number assigned to this NPI record is 10D2259977 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2019 and was last updated on 9/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1114086600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.