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FLORIDA PRIMARY CARE CENTER PA NPI 1609197920


NPI Information

NPI: 1609197920
Provider Name: FLORIDA PRIMARY CARE CENTER, PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D0275247

Address:
15493 STONEYBROOK WEST PKWY STE 110
WINTER GARDEN, FL
ZIP 34787
Phone: (407) 299-7791
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FLORIDA PRIMARY CARE CENTER, PA is a primary care clinic center in Winter Garden, FL. FLORIDA PRIMARY CARE CENTER, PA NPI is 1609197920. The provider is registered as an organization entity type.

The provider's business location address is:

15493 STONEYBROOK WEST PKWY STE 110
WINTER GARDEN, FL
ZIP 34787-769
Phone: (407) 299-7791

The provider's authorized official is Ashok Khanna .
The authorized official title is President and has the following contact phone number (407) 299-7791.

The CLIA number assigned to this NPI record is 10D0275247 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2010 and was last updated on 10/26/2018.


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
1261QP2300XClinic/CenterPrimary CareME48001FLORIDAYes

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: 5/5/2024

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