Organization Active NPI

Florida Care Medical Center Inc

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1881422434
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORIDA CARE MEDICAL CENTER INC
Practice address
810 N Nowell St
Orlando, FL 32808-7539
Phone
(407) 588-8284
Fax
(407) 706-8284
NPI assigned
Jul 24, 2024
Organization subpart
Yes
Parent organization
FLORIDA CARE MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Pedro Enrique Lastres HernandezNPI 1891553335
Title
Cmo
Phone
(786) 558-5772

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: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

810 N Nowell St
Orlando, FL 32808-7539

Mailing address

7200 Curry Ford Rd
Orlando, FL 32822-5806
Phone (407) 588-8284

Other names 1

  • Florida Care Medical Center Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230614002531 FL Part B Supplier - Clinic/Group Practice 5193183754 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orlando, 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
10D2309901Florida Care Medical Center, Inc810 N Nowell Street, Orlando, FL 32808Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory
Part of
Florida Care Medical Center

Locations

2400 SW 65th Ave
Miami, FL 33155
Phone (305) 322-8489

Practitioners & affiliated clinicians

Practitioners 6

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": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1881422434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225806",
            "telephone_number": "407-588-8284",
            "fax_number": "407-706-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N NOWELL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087539",
            "telephone_number": "407-588-8284",
            "fax_number": "407-706-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CARE MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA CARE MEDICAL CENTER INC",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "LASTRES HERNANDEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "786-558-5772"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Care Medical Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.