Primary Care Specialists of Orlando LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE SPECIALISTS OF ORLANDO LLC

Practice address

3615 S Orange Ave
Orlando, FL 32806-6216

Phone

(407) 855-2526

Fax

(407) 855-1503

NPI assigned

Dec 19, 2011

Last updated

Jul 30, 2024By 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

Dr. David F Cowan, MDNPI 1689658155

Title

President

Phone

(407) 855-2526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 32

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.

• Sohaib Al Obaidi, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1598347239
  Medicare reassignment Care Compare group NPD
• David F Cowan, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1689658155
  Medicare reassignment NPD Authorized official
• Douglas A Witter, M.D.

  • Family Medicine Physician
  • Orange City, FL
  • NPI 1437107257
  Medicare reassignment Care Compare group NPD
• Laura Catherine Mendoza, PA-C

  • Physician Assistant
  • Winter Garden, FL
  • NPI 1043720782
  Medicare reassignment Care Compare group
• Gerald J Kivett, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1205810421
  Medicare reassignment NPD
• Annapurna Pattisapu, M.D.

  • Internal Medicine Physician
  • Winter Park, FL
  • NPI 1972615599
  Medicare reassignment NPD
• Teri Lynn Stapleton, M.D.

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1790053726
  Medicare reassignment NPD
• Amy Williams, DO

  • Family Medicine Physician
  • Maitland, FL
  • NPI 1316306756
  Medicare reassignment NPD
• Paul H Hutschenreuter, P.A.

  • Physician Assistant
  • Orlando, FL
  • NPI 1508840083
  Medicare reassignment
• Carl Sellars, PA

  • Physician Assistant
  • Orlando, FL
  • NPI 1891765855
  Medicare reassignment
• Corliss Yvette Alston

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1972395630
  NPD
• Lori Jordan Back, FNP-C

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1639934102
  NPD

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1740559939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066216",
            "telephone_number": "407-855-2526",
            "fax_number": "407-855-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066216",
            "telephone_number": "407-855-2526",
            "fax_number": "407-855-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS OF ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-855-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists of Florida, LLC
• Primary Care Specialists, LLC
• Prime Aaz LLC (Home Helpers Home Care of East Orlando , FL)
• Prime Care Family Health Center Inc
• Prime Care Family Health Centers Inc
• Prime Care Medical Supply LLC

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.