Premcare Family Medical Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0068874 Issued in FL

Legal business name

PREMCARE FAMILY MEDICAL CENTER

Practice address

4501 S Semoran Blvd
Orlando, FL 32822-2407

Phone

(407) 380-1428

Fax

(407) 380-0754

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Muhammad A Awan, M.D.NPI 1518043108

Title

Medicine Doctor

Phone

(407) 380-1428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Muhammad A Awan, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1518043108

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Abid Rasool, M.D.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1750462594
  Medicare reassignment Care Compare group NPD
• Kimesha Wilson

  • Student in an Organized Health Care Education/Training Program
  • Orlando, FL
  • NPI 1982300513
  NPD
• Kirti M Kalidas, M.D.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1407016876
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1730107780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222407",
            "telephone_number": "407-380-1428",
            "fax_number": "407-380-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222407",
            "telephone_number": "407-380-1428",
            "fax_number": "407-380-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMCARE FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "AWAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICINE DOCTOR",
        "authorized_official_telephone_number": "407-380-1428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0068874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Transport Services LLC
• Susanne Geraldine Preisler, ARNP
• Virginia Preiss
• Kevin Preller
• Michelle Renee Prellwitz
• Premier Aging in Place Services, Inc.
• Premier Eye Associates, Inc.
• Premier Health Group of Florida
• Premier Healthcare Solutions LLC
• Premier Home Healthcare, Inc

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.