NPIMap

Organization Active NPI

Primary Care Group, LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1659704849
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME82760 Issued in FL
Legal business name
PRIMARY CARE GROUP, LLC
Practice address
4160 N Armenia Ave
Tampa, FL 33607-6453
Phone
(813) 673-8245
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Dr. Orlando Rangel, M.D
Title
Ceo
Phone
(813) 673-8245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME82760 FL Primary

Addresses

Primary practice location

4160 N Armenia Ave
Tampa, FL 33607-6453

Mailing address

4160 N Armenia Ave
Tampa, FL 33607-6453
Phone (813) 673-8245

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1659704849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076453",
            "telephone_number": "813-673-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076453",
            "telephone_number": "813-673-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-673-8245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

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