Active NPI
Primary Care Specialists LLC
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1215910864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY CARE SPECIALISTS LLC
- Practice address
- 3100 S Conway Rd
Orlando, FL 32812-7331 - Phone
- (407) 380-2216
- Fax
- (407) 380-2710
- NPI assigned
- Nov 28, 2005
- Organization subpart
- Yes
- Parent organization
- PRIMARY CARE SPECIALISTS LLC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3100 S Conway Rd
Orlando, FL 32812-7331
Mailing address
3100 S Conway Rd
Orlando, FL 32812-7331
Phone (407) 380-2216
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": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1215910864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 S CONWAY RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328127331",
"telephone_number": "407-380-2216",
"fax_number": "407-380-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 S CONWAY RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328127331",
"telephone_number": "407-380-2216",
"fax_number": "407-380-2710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE SPECIALISTS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRIMARY CARE SPECIALISTS LLC",
"enumeration_date": "2005-11-28",
"last_updated": "2011-11-18",
"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": "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 Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.