PRIMECARE LAKE NONA, LLC – NPI #1205128642
Family Medicine

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 LAKE NONA, LLC is a provider located in ORLANDO, FL. NPPES has assigned the NPI number 1205128642 to PRIMECARE LAKE NONA, LLC on May 04, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Jun 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMECARE LAKE NONA, LLC below.

NPI Profile for
PRIMECARE LAKE NONA, LLC

NPI Number
1205128642
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMECARE LAKE NONA, LLC
Primary location
10437 MOSS PARK RD
ORLANDO, FL 32832-5812
Phone: (407) 846-8180 Fax: (407) 347-4858
Mailing address
222 BROADWAY
SUITE 302
KISSIMMEE, FL 34741
Phone: (407) 846-8180 Fax: (407) 347-4858
Organization Subpart
No
Authorized Official
JAIME DANIELS
CEO
Phone: (407) 846-8180
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME36463
261QP2300X
- Clinic/Center / Primary Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.