Individual provider Active NPI

Ana L Perdomo Camps

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1629665419
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11010790 Issued in FL
Practice address
8200 World Center Drive
Orlando, FL 32821-5400
Phone
(407) 465-1110
Fax
(407) 465-1222
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11010790 FL Primary

Addresses

Primary practice location

8200 World Center Drive
Orlando, FL 32821-5400

Mailing address

8200 World Center Drive
Orlando, FL 32821-5400
Phone (407) 465-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127000045 FL Practitioner - Nurse Practitioner 2961816392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jandg Medical Group LLCGroup PAC ID 9537478391, 5 clinicians

Practice addresses (Care Compare)

8200 World Ctr Dr
Buena Vista Urgent Care
Orlando, FL 32821-5400
Phone (407) 465-1110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J&G Medical Group LLC CurrentSince Jan 11, 2021 Accepting new patients

Locations

8216 World Center Dr
Ste D
Orlando, FL 32821
Phone (407) 465-1110

8200 World Center Dr
#C
Orlando, FL 32821
Phone (407) 465-1110

8200 World Center Dr
Orlando, FL 32821
Phone (407) 465-1110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1629665419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WORLD CENTER DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328215400",
            "telephone_number": "407-465-1110",
            "fax_number": "407-465-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WORLD CENTER DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328215400",
            "telephone_number": "407-465-1110",
            "fax_number": "407-465-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO CAMPS",
        "first_name": "ANA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11010790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.