Active NPI
Downtown Primary Clinic LLC
- Multi-Specialty Clinic/Center
- Orlando, FL
National Provider Identifier
1174356505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- DOWNTOWN PRIMARY CLINIC LLC
- Practice address
- 150 W Michigan St
Orlando, FL 32806-4463 - Phone
- (407) 863-9111
- Fax
- (407) 613-5085
- NPI assigned
- Aug 21, 2024
- 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
- Lashunda Standifer
- Title
- Admin
- Phone
- (407) 863-9111
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Nutrition Chiropractor | 111NN1001X | |||
| Radiology Chiropractor | 111NR0200X | |||
| Occupational Health Chiropractor | 111NX0100X | |||
| Orthopedic Chiropractor | 111NX0800X | |||
| Family Medicine Physician | 207Q00000X | |||
| Clinic/Center | 261Q00000X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Pain Clinic/Center | 261QP3300X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
150 W Michigan St
Orlando, FL 32806-4463
Mailing address
PO Box 568368
Orlando, FL 32856-8368
Phone (407) 863-9111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1174356505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568368",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328568368",
"telephone_number": "407-863-9111",
"fax_number": "407-613-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064463",
"telephone_number": "407-863-9111",
"fax_number": "407-613-5085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN PRIMARY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-21",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "STANDIFER",
"authorized_official_first_name": "LASHUNDA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "407-863-9111"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Occupational Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 16, 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.