Active NPI
Anchor Direct Primary Care, LLC
- Primary Care Clinic/Center
- Winter Park, FL
National Provider Identifier
1245726652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ANCHOR DIRECT PRIMARY CARE, LLC
- Practice address
- 1850 Lee Rd Ste 134
Winter Park, FL 32789-2104 - Phone
- (407) 634-1690
- Fax
- (407) 369-4236
- NPI assigned
- Jul 9, 2018
- 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
- Matthew Rensberry, MD, MBA
- Title
- President/Physician
- Phone
- (407) 634-1690
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1850 Lee Rd Ste 134
Winter Park, FL 32789-2104
Mailing address
1850 Lee Rd Ste 134
Winter Park, FL 32789-2104
Phone (407) 634-1690
National Provider Directory
National Provider DirectoryLocations
2909 N Orange Ave
Ste 101
Orlando, FL 32804
Phone (407) 228-4600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Winter Park, FL
- NPI 1407054851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1245726652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 LEE RD STE 134",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892104",
"telephone_number": "407-634-1690",
"fax_number": "407-369-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 LEE RD STE 134",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892104",
"telephone_number": "407-634-1690",
"fax_number": "407-369-4236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHOR DIRECT PRIMARY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-09",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A",
"authorized_official_last_name": "RENSBERRY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "407-634-1690",
"authorized_official_credential": "MD, MBA"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.