Organization Active NPI

Orlando Advanced Primary Care LLC

  • Internal Medicine Physician
  • Maitland, FL
National Provider Identifier
1104366426
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 123137 Issued in FL
Legal business name
ORLANDO ADVANCED PRIMARY CARE LLC
Practice address
331 N Maitland Ave
Suite C-1
Maitland, FL 32751-4762
Phone
(407) 644-2218
Fax
(407) 644-9260
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Sandeep Pandya, M.D.
Title
Owner
Phone
(407) 644-2218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME 123137 FL Primary

Addresses

Primary practice location

331 N Maitland Ave
Suite C-1
Maitland, FL 32751-4762

Mailing address

331 N Maitland Ave
Suite C-1
Maitland, FL 32751-4762
Phone (407) 644-2218

National Provider Directory

National Provider Directory

Locations

331 N Maitland Ave
Ste C1
Maitland, FL 32751
Phone (407) 644-2218

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1104366426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE",
            "address_2": "SUITE C-1",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514762",
            "telephone_number": "407-644-2218",
            "fax_number": "407-644-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE",
            "address_2": "SUITE C-1",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514762",
            "telephone_number": "407-644-2218",
            "fax_number": "407-644-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO ADVANCED PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-644-2218",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 123137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.