Organization Active NPI

Renewal Primary Care, LLC

  • Primary Care Clinic/Center
  • Ocala, FL
National Provider Identifier
1356989123
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RENEWAL PRIMARY CARE, LLC
Practice address
911 E Silver Springs Blvd
Ocala, FL 34470-6707
Phone
(352) 619-1414
Fax
(352) 619-1440
NPI assigned
Dec 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Frank Matthew Lowe, APRN
Title
Co-Owner
Phone
(352) 619-1414

Specialties & licenses 1

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

Addresses

Primary practice location

911 E Silver Springs Blvd
Ocala, FL 34470-6707

Mailing address

6854 SE 11TH PL
Ocala, FL 34472-0807
Phone (352) 619-1414

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
10D2178358Renewal Primary Care LLC911 E Silver Springs Blvd, Ocala, FL 34470Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

911 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 619-1414

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1356989123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6854 SE 11TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344720807",
            "telephone_number": "352-619-1414",
            "fax_number": "352-619-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706707",
            "telephone_number": "352-619-1414",
            "fax_number": "352-619-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-619-1414",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.