D & D PRIMARY CARE LLC NPI 1831611375

NPI Information

  • NPI: 1831611375
  • Provider Name: D & D PRIMARY CARE LLC
  • Classification: Nurse Practitioner - 363LC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2257054
  • Address: 844 N JOHN YOUNG PKWY
    KISSIMMEE, FL
    ZIP 34741
  • Phone: (407) 795-7705

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NPI Details

D & D PRIMARY CARE LLC is a community health nurse practitioner in Kissimmee, FL. D & D PRIMARY CARE LLC NPI is 1831611375. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

844 N JOHN YOUNG PKWY
KISSIMMEE, FL
ZIP 34741-912
Phone: (407) 795-7705

The provider's authorized official is Darlene Gordon .
The authorized official title is Owner/ceo/aaprn/fnp-bc and has the following contact phone number (407) 795-7705.

The CLIA number assigned to this NPI record is 10D2257054 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2017 and was last updated on 3/7/2025.

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
1253Z00000XIn Home Supportive CareNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3363LC1500XNurse PractitionerCommunity HealthYes
4385H00000XRespite CareNo

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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