NPIMap

Organization Active NPI

Primary Care Specialists LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1114901691
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE SPECIALISTS LLC
Practice address
5540 E Grant St
Suite a
Orlando, FL 32822-1668
Phone
(407) 281-7728
Fax
(407) 658-1920
NPI assigned
Nov 30, 2005
Organization subpart
Yes
Parent organization
PRIMARY CARE SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Tony Raitano
Title
Operations Manager
Phone
(407) 281-7728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5540 E Grant St
Suite a
Orlando, FL 32822-1668

Mailing address

5540 E Grant St
Suite a
Orlando, FL 32822-1668
Phone (407) 281-7728

National Provider Directory

National Provider Directory
Part of
Primary Care Specialist

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1114901691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 E GRANT ST",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221668",
            "telephone_number": "407-281-7728",
            "fax_number": "407-658-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 E GRANT ST",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221668",
            "telephone_number": "407-281-7728",
            "fax_number": "407-658-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE SPECIALISTS LLC",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "RAITANO",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "407-281-7728"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.