Organization Active NPI

Elevate PCW FL LLC

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1215851316
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELEVATE PCW FL LLC
Practice address
255 S Orange Ave Ste 104
Orlando, FL 32801-3411
Phone
(469) 693-7164
NPI assigned
Aug 10, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Aqsa Jamal
Title
Owner
Phone
(469) 693-7164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

255 S Orange Ave Ste 104
Orlando, FL 32801-3411

Mailing address

20120 Natures Hike Way
Tampa, FL 33647-3581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1215851316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20120 NATURES HIKE WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ORANGE AVE STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013411",
            "telephone_number": "469-693-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PCW FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "AQSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-693-7164"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Aug 10, 2026; 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.