NPIMap

Privia Medical Group Florida, LLC

Organization Active NPI General Practice Physician · Indialantic, FL

NPI 1700649043 · NPPES record last updated Aug 3, 2026

Key facts

NPI
1700649043
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 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
Organization subpart
No

Authorized official

Name
Lora Morse
Title
VP
Phone
(321) 434-5482

Other NPIs with the same Medicare PAC ID 3

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

Practitioners 510

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 510

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240524002147 FL Part B Supplier - Clinic/Group Practice 3173965993 Receives reassigned benefits from 361 practitioners

National Provider Directory

Locations (25 of 59)

3306 Bonita Beach Rd
Ste 140
Bonita Springs, FL 34134

17323 Pagonia Rd
Clermont, FL 34711
Phone (352) 995-8710

3145 Citrus Tower Blvd
Ste B
Clermont, FL 34711
Phone (352) 900-5227

1980 N Atlantic Ave
Ste 905
Cocoa Beach, FL 32931
Phone (321) 342-4948

699 W Cocoa Beach Cswy
Ste 401
Cocoa Beach, FL 32931
Phone (321) 784-5437

131 E New York Ave
Ste A
Deland, FL 32724
Phone (386) 202-1401

6290 Linton Blvd
Ste 203
Delray Beach, FL 33484
Phone (561) 495-2700

4005 NW 114th Ave
Doral, FL 33178
Phone (754) 828-6161

1022 Main St
Ste A
Dunedin, FL 34698
Phone (727) 396-2506

10058 Gulf Center Dr
Fort Myers, FL 33913
Phone (239) 344-9600

6400 W Newberry Rd
Ste 109
Gainesville, FL 32605
Phone (352) 332-4400

2500 E Hallandale Beach Blvd
Ste 211
Hallandale Beach, FL 33009
Phone (954) 456-5533

2500 E Hallandale Beach Blvd
Ste 400
Hallandale Beach, FL 33009
Phone (954) 456-4777

140 6th Ave
Ste A
Indialantic, FL 32903

13820 Old St Augustine Rd
Ste 101
Jacksonville, FL 32258
Phone (904) 260-2565

4745 Sutton Park Ct
Ste 103
Jacksonville, FL 32224

2257 Oak St
Jacksonville, FL 32204
Phone (904) 388-9202

12412 San Jose Blvd
Ste 404
Jacksonville, FL 32223
Phone (904) 379-6988

8990 R G Skinner Pkwy
Jacksonville, FL 32256
Phone (904) 519-6555

210 Jupiter Lakes Blvd
#3000
Jupiter, FL 33458

2141 S Alternate A1A
Ste 230
Jupiter, FL 33477
Phone (561) 242-0505

210 Jupiter Lakes Blvd
Ste 3202
Jupiter, FL 33458
Phone (561) 746-2114

2711 N Orange Blossom Trl
Ste B
Kissimmee, FL 34744
Phone 4073800302 ext. 206

870 W Hickpochee Ave
Ste 100
Labelle, FL 33935
Phone (239) 303-1501

1150 Lee Blvd
Ste 4
Lehigh Acres, FL 33936
Phone (239) 369-9911

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

140 6TH Ave
Indialantic, FL 32903-3204

Mailing address

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (800) 973-1442

Other providers in Indialantic, FL

All providers in Indialantic, FL · General Practice Physician in Florida

Sources for this page

Verify at the official NPI Registry.