PRIMECARE MEDICAL CLINIC PA NPI 1861688814

NPI Information

  • NPI: 1861688814
  • Provider Name: PRIMECARE MEDICAL CLINIC, PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D0941231
  • Address: 2869 WILSHIRE DR
    SUITE 205
    ORLANDO, FL
    ZIP 32835
  • Phone: (407) 295-0500

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NPI Details

PRIMECARE MEDICAL CLINIC, PA is a family medicine in Orlando, 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. PRIMECARE MEDICAL CLINIC, PA NPI is 1861688814. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2869 WILSHIRE DR
SUITE 205
ORLANDO, FL
ZIP 32835-282
Phone: (407) 295-0500
Fax: (407) 290-2997

The provider's authorized official is Mohammed Ak Moosa .
The authorized official title is President and has the following contact phone number (407) 830-5080.

The CLIA number assigned to this NPI record is 10D0941231 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2007 and was last updated on 5/6/2010.

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 MedicineME73277FLORIDAYes

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
142524AOTHERFLORIDAINDIVIDUAL MC PROVIDER #
2F82588MEDICARE UPINFLORIDA
3K2454MEDICARE PINFLORIDA

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: 3/30/2025

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