Organization Active NPI

Orange Primary Care, P.a.

  • Family Medicine Physician
  • Winter Park, FL
National Provider Identifier
1093862823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0044761 Issued in FL
Legal business name
ORANGE PRIMARY CARE, P.A.
Practice address
1400 S Orlando Ave
Suite 205
Winter Park, FL 32789-5543
Phone
(407) 478-0205
Fax
(407) 886-7079
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kathleen McGinley
Title
Office Manager
Phone
(407) 478-0205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0044761 FL Primary

Addresses

Primary practice location

1400 S Orlando Ave
Suite 205
Winter Park, FL 32789-5543

Mailing address

522 S Hunt Club Blvd PMB 248
Apopka, FL 32703-4960
Phone (407) 478-0205

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093862823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S HUNT CLUB BLVD PMB 248",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034960",
            "telephone_number": "407-478-0205",
            "fax_number": "407-886-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ORLANDO AVE",
            "address_2": "SUITE 205",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895543",
            "telephone_number": "407-478-0205",
            "fax_number": "407-886-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGINLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-478-0205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0044761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.