Organization Active NPI

Primary Care Associates of Florida LLC

  • Primary Care Clinic/Center
  • Sanford, FL
National Provider Identifier
1659571404
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME94804 Issued in FL
Legal business name
PRIMARY CARE ASSOCIATES OF FLORIDA LLC
Practice address
1403 Medical Plaza Dr
Suite 107
Sanford, FL 32771-1000
Phone
(407) 321-8801
Fax
(407) 321-7648
NPI assigned
Jul 20, 2007
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Dr. Alexandra Alexis, M.D.NPI 1386601839
Title
Physician
Phone
(407) 321-8801

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME94804 FL Primary

Addresses

Primary practice location

1403 Medical Plaza Dr
Suite 107
Sanford, FL 32771-1000

Mailing address

1403 Medical Plaza Dr
Suite 107
Sanford, FL 32771-1000
Phone (407) 321-8801

Other identifiers 1

IdentifierTypeStateIssuer
275187900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1403 Medical Plaza Dr
Ste 107
Sanford, FL 32771
Phone (407) 321-8801

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1659571404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITE 107",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-321-8801",
            "fax_number": "407-321-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITE 107",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-321-8801",
            "fax_number": "407-321-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-321-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME94804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275187900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.