Organization Active NPI

Primelife Health LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1821869389
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMELIFE HEALTH LLC
Practice address
7820 N Armenia Ave Ste C
Tampa, FL 33604-3852
Phone
(813) 659-5950
NPI assigned
Jan 12, 2024
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Dr. Orlando S Rangel, MDNPI 1942379466
Title
Cmo
Phone
(813) 300-3741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7820 N Armenia Ave Ste C
Tampa, FL 33604-3852

Mailing address

3411 W Tampa Bay Blvd
Tampa, FL 33607-6619
Phone (813) 874-1509

Other practice location 1

3910 Northdale Blvd Ste 100
Tampa, FL 33624-1800
Phone (813) 874-1509

Other practice location 2

433 SW 10th St
Ocala, FL 34471-0209
Phone (352) 436-4545

Other practice location 3

955 S Woodland Blvd Ste A1
Deland, FL 32720-7321
Phone (386) 530-4151

Other identifiers 1

IdentifierTypeStateIssuer
122252800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240410003840 FL Part B Supplier - Clinic/Group Practice 5092153940 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Bradenton, FL; Deland, FL; Fort Myers, FL; Ocala, FL; Tampa, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2298255Primelife Health955 S Woodland Blvd, Deland, FL 32720Certificate of waiverJan 30, 2028
10D2300181Primelife Health LLC433 SW 10TH St, Ocala, FL 34471Certificate of waiverMar 4, 2028
10D2324106Primelife Health LLC7820 N Armenia Ave, Suite C, Tampa, FL 33604Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Prime Life Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

955 S Woodland Blvd
Ste A1
Deland, FL 32720
Phone (386) 530-4151

3411 W Tampa Bay Blvd
Tampa, FL 33607
Phone (813) 466-4678

3910 Northdale Blvd
Ste 100
Tampa, FL 33624
Phone (813) 874-1509

7820 N Armenia Ave
Ste C
Tampa, FL 33604
Phone (813) 659-5950

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1821869389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W TAMPA BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076619",
            "telephone_number": "813-874-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 N ARMENIA AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336043852",
            "telephone_number": "813-659-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 Northdale Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336241800",
            "country_code": "US",
            "telephone_number": "813-874-1509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710209",
            "country_code": "US",
            "telephone_number": "352-436-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 S Woodland Blvd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327207321",
            "country_code": "US",
            "telephone_number": "386-530-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMELIFE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "813-300-3741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122252800",
            "state": "FL"
        }
    ],
    "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 Jan 30, 2026; 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.