Privia Medical Group Florida, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIVIA MEDICAL GROUP FLORIDA, LLC

Practice address

140 6TH Ave
Indialantic, FL 32903-3204

Phone

(321) 312-3501

NPI assigned

Jan 31, 2024

Last updated

Aug 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lora Morse

Title

VP

Phone

(321) 434-5482

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Health First Privia Medical Group LLC

  dba Brevard Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Melbourne, FL
  • NPI 1356296651

  3173965993

  Same PAC ID
• Privia Medical Group Florida LLC

  dba Advanced Podiatry and Neuropathy Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1568328847

  3173965993

  Same PAC ID
• Privia Medical Group Florida LLC

  dba Jeffrey T. O'Brien, MD, Inc. DBA The Orthopedic Center

  • Orthopaedic Surgery Physician
  • Palm Bay, FL
  • NPI 1770449159

  3173965993

  Same PAC ID

Locations (25 of 58)

Practitioners 514

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.

• Krish Adhikari, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1679335871

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Alka Aggarwal, M.D.

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1467731950
  Medicare reassignment Care Compare group NPD
• Ava Allison Alexander, PA

  • Physician Assistant
  • Sarasota, FL
  • NPI 1831581727
  Medicare reassignment Care Compare group NPD
• Jose A Alvarez, MD

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
  • NPI 1912013699
  Medicare reassignment Care Compare group NPD
• Hussein Anan, MD

  • Family Medicine Physician
  • Wilton Manors, FL
  • NPI 1386057966
  Medicare reassignment Care Compare group NPD
• Haleigh Lillian Andreasen, FNP

  • Nurse Practitioner
  • Port Saint John, FL
  • NPI 1427754290
  Medicare reassignment Care Compare group NPD
• Stephanie Antepara

  • Nurse Practitioner
  • Windermere, FL
  • NPI 1235688763
  Medicare reassignment Care Compare group NPD
• Omar A Aref, MD

  • Family Medicine Physician
  • Plant City, FL
  • NPI 1235106675
  Medicare reassignment Care Compare group NPD
• Shane Nicholas Austin, M.D.

  • Family Medicine Physician
  • Tamarac, FL
  • NPI 1669899894
  Medicare reassignment Care Compare group NPD
• Melissa Aycock, APRN

  • Nurse Practitioner
  • Vero Beach, FL
  • NPI 1962286864
  Medicare reassignment Care Compare group NPD
• Ricardo Bailey, MD

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1750941134
  Medicare reassignment Care Compare group NPD
• Eduardo Jose Balbona, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1073506168
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1700649043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N GLEBE RD STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034173",
            "telephone_number": "800-973-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 6TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033204",
            "telephone_number": "321-312-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVIA MEDICAL GROUP FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "321-434-5482"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric R Peters, PHARM.D.
• Jessica Piazza
• Maxwell Clark Poling, PA-C
• Candace Powell-Romero, DPT
• Mark Paul Preston, M.D., J.D.
• Erica Ann Provost, MS, CCC
• Publix Super Markets, Inc. (Publix Pharmacy #1688)
• Alyssa Nicole Quixley, PT, DPT
• Joseph H. Rabinowitz, M.D.
• Vernice D Ragsdale, MD

• General Practice Physician in Indialantic, FL
• Providers in Indialantic, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.