SPEKTRUM HEALTH NPI 1467921767

NPI Information

NPI: 1467921767
Provider Name: SPEKTRUM HEALTH
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 10D2175127
Address: 5205 S ORANGE AVE STE 110
ORLANDO, FL
ZIP 32809
Phone: (407) 454-1363

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NPI Details

SPEKTRUM HEALTH is a primary care clinic center in Orlando, FL. SPEKTRUM HEALTH NPI is 1467921767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5205 S ORANGE AVE STE 110
ORLANDO, FL
ZIP 32809-067
Phone: (407) 454-1363
Fax: (321) 247-7391

The provider's authorized official is Joseph Anthony Knoll .
The authorized official title is Ceo and has the following contact phone number (407) 454-1363.

The CLIA number assigned to this NPI record is 10D2175127 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2018 and was last updated on 1/26/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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
1	015139500	MEDICAID	FLORIDA
2	1061098	OTHER	FLORIDA	CIGNA
3	0WDSQ	OTHER	FLORIDA	FLORIDA BLUE

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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