Primary Care Specialists LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE SPECIALISTS LLC

Practice address

11140 W Colonial Dr
Suite 1
Ocoee, FL 34761-3300

Phone

(407) 877-2111

Fax

(407) 877-7571

NPI assigned

Nov 30, 2005

Organization subpart

Yes

Parent organization

PRIMARY CARE SPECIALISTS LLCAs reported in NPPES

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

Authorized official

Name

Gerald J Kivett, MD

Title

Partner

Phone

(407) 275-9014

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Primary Care Specialist

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": "1124002613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 W COLONIAL DR",
            "address_2": "SUITE 1",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613300",
            "telephone_number": "407-877-2111",
            "fax_number": "407-877-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 W COLONIAL DR",
            "address_2": "SUITE 1",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613300",
            "telephone_number": "407-877-2111",
            "fax_number": "407-877-7571"
        }
    ],
    "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": "KIVETT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-275-9014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "24506F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precision Lab Solutions
• Premier Family & Sports Medicine, LLC
• Premier Pediatrics
• Ashley Price
• Primary Care Advanced PLLC
• Primary Pathway Health PLLC
• Jessica L. Prince, APRN
• Heather Prinzel
• Progressive Living - a Lifestyle, LLC
• Prolific Healthcare LLC

• Internal Medicine Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Internal Medicine Physician in Florida

• 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.