Organization Active NPI

Primelife Health LLC

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1144083577
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMELIFE HEALTH LLC
Practice address
2621 Cleveland Ave
Fort Myers, FL 33901-5802
Phone
(239) 220-5561
NPI assigned
Jan 30, 2024
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Dr. Orlando S Rangel, MDNPI 1942379466
Title
Cmo
Phone
(813) 300-3741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2621 Cleveland Ave
Fort Myers, FL 33901-5802

Mailing address

3411 W Tampa Bay Blvd
Tampa, FL 33607-6619
Phone (813) 874-1509

Other identifiers 1

IdentifierTypeStateIssuer
122252800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240410003840 FL Part B Supplier - Clinic/Group Practice 5092153940 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bradenton, FL; Deland, FL; Fort Myers, FL; Ocala, FL; Tampa, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2301139Primelife Health, LLC2621 Cleveland Ave, Fort Myers, FL 33901Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Prime Life Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5593 Cortez Rd W
Bradenton, FL 34210
Phone (813) 792-9797

3411 W Tampa Bay Blvd
Tampa, FL 33607
Phone (813) 466-4678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFDDD

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1144083577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W TAMPA BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076619",
            "telephone_number": "813-874-1509",
            "fax_number": "813-616-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015802",
            "telephone_number": "239-220-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMELIFE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "813-300-3741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122252800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.