Active NPI
Orlando Advanced Primary Care LLC
- Internal Medicine Physician
- Maitland, FL
National Provider Identifier
1104366426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 123137
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.