PRIMARY CARE SPECIALISTS LLC NPI 1114010824

NPI Information

  • NPI: 1114010824
  • Provider Name: PRIMARY CARE SPECIALISTS, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D0275079
  • Address: 2572 W STATE ROAD 426
    SUITE 1040
    OVIEDO, FL
    ZIP 32765
  • Phone: (407) 366-9800

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NPI Details

PRIMARY CARE SPECIALISTS, LLC is a family medicine in Oviedo, FL. The provider is 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. PRIMARY CARE SPECIALISTS, LLC NPI is 1114010824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2572 W STATE ROAD 426
SUITE 1040
OVIEDO, FL
ZIP 32765-389
Phone: (407) 366-9800
Fax: (407) 366-9283

The provider's authorized official is Gerald J Kivett .
The authorized official title is Partner and has the following contact phone number (407) 275-9014.

The CLIA number assigned to this NPI record is 10D0275079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 6/15/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
124506OTHERFLORIDABCBS
2K4920MEDICARE PINFLORIDA
3363L00000XOTHERFLORIDANURSE PRACTITIONER
4207Q00000XOTHERFLORIDAFAMILY PRACTICE

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: 11/21/2025

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