Organization Active NPI

Primary Physicians of Florida

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1861959348
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY PHYSICIANS OF FLORIDA
Practice address
2559 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4993
Phone
(407) 482-7441
Fax
(407) 483-4015
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Rafael Martinez, MDNPI 1578990438
Title
Medical Director
Phone
(408) 482-7441

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2559 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4993

Mailing address

2559 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4993
Phone (407) 482-7441

Other identifiers 1

IdentifierTypeStateIssuer
021849000MedicaidFL

National Provider Directory

National Provider Directory

Locations

2559 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 482-7441

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1861959348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 E IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444993",
            "telephone_number": "407-482-7441",
            "fax_number": "407-483-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 E IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444993",
            "telephone_number": "407-482-7441",
            "fax_number": "407-483-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PHYSICIANS OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-482-7441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021849000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.