Primera Choice Walk in Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMERA CHOICE WALK IN CLINIC

Practice address

3861 Avalon Park East Blvd
Orlando, FL 32828-4853

Phone

(407) 936-4635

Fax

(407) 540-8916

NPI assigned

Dec 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Walter A Black, M.D.

Title

Medical Director

Phone

(407) 936-4635

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1346661592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 AVALON PARK EAST BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284853",
            "telephone_number": "407-936-4635",
            "fax_number": "407-540-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 AVALON PARK EAST BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284853",
            "telephone_number": "407-936-4635",
            "fax_number": "407-540-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERA CHOICE WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-936-4635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primecare Medical Clinic, PA
• Primecare Psychiatric Associates
• Primecaredme LLC
• Primelife Home Health Services LLC
• Primera Choice Urgent Care Center LLC
• Primera Urgent Primary Care Center, LLC
• Rafael Eduardo Primera Weffer, SA-C
• Maria Isabel Primera, RBT
• Primrose Center, Inc.
• Ayshirah Prince

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.