NPIMap

Organization Active NPI

Pineapple Healthcare Inc.

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1346816030
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PINEAPPLE HEALTHCARE INC.
Practice address
1724 33Rd St Ste 100
Orlando, FL 32839-8858
Phone
(407) 553-6336
Fax
(321) 445-9733
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Mr. Ethan M Suarez
Title
President
Phone
(407) 839-7278

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1724 33Rd St Ste 100
Orlando, FL 32839-8858

Mailing address

7897 Jubilee Park Blvd Apt 2212
Orlando, FL 32822-5254

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2229018Pineapple Healthcare Inc1724 33Rd Street Suite 100, Orlando, FL 32839Certificate of waiverJul 5, 2027

National Provider Directory

National Provider Directory

Locations

1080 Kevstin Dr
Ste 100
Kissimmee, FL 34744

1080 Kevstin Dr
Kissimmee, FL 34744

1724 33rd St
Ste 100
Orlando, FL 32839
Phone (407) 553-6336

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1346816030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7897 JUBILEE PARK BLVD APT 2212",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 33RD ST STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398858",
            "telephone_number": "407-553-6336",
            "fax_number": "321-445-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEAPPLE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-839-7278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.