Organization Active NPI

Rethink Health Direct Primary Care, LLC

  • Family Medicine Physician
  • Winter Park, FL
National Provider Identifier
1851920227
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RETHINK HEALTH DIRECT PRIMARY CARE, LLC
Practice address
111 N Lakemont Ave Ste 2C
Winter Park, FL 32792-3217
Phone
(407) 274-4211
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Elizabeth Sirolly, PA-C
Title
Co-Owner
Phone
(407) 274-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

111 N Lakemont Ave Ste 2C
Winter Park, FL 32792-3217

Mailing address

1886 Meeting PL
Orlando, FL 32814-6321
Phone (407) 274-4211

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
10D2187225Rethink Health Direct Primary Care111 N Lakemont Ave Suite 2C, Winter Park, FL 32792Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory

Locations

111 N Lakemont Ave
Ste 2C
Winter Park, FL 32792
Phone (407) 740-7710

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1851920227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 MEETING PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146321",
            "telephone_number": "407-274-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LAKEMONT AVE STE 2C",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923217",
            "telephone_number": "407-274-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETHINK HEALTH DIRECT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "SIROLLY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "407-274-4211",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.