Organization Active NPI

Primera Choice Urgent Care Center LLC

  • Urgent Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1881952802
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRIMERA CHOICE URGENT CARE CENTER LLC
Practice address
3861 Avalon Park East Blvd
Orlando, FL 32828-4853
Phone
(407) 378-5300
Fax
(407) 378-5360
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Mr. Femi Ogunfowokan
Title
MGRM
Phone
(407) 936-4635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X FL Primary

Addresses

Primary practice location

3861 Avalon Park East Blvd
Orlando, FL 32828-4853

Mailing address

3861 Avalon Park East Blvd
Orlando, FL 32828-4853
Phone (407) 378-5300

Other identifiers 1

IdentifierTypeStateIssuer
GH092AOtherFLCMS-MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1881952802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 AVALON PARK EAST BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284853",
            "telephone_number": "407-378-5300",
            "fax_number": "407-378-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 AVALON PARK EAST BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284853",
            "telephone_number": "407-378-5300",
            "fax_number": "407-378-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERA CHOICE URGENT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "OGUNFOWOKAN",
        "authorized_official_first_name": "FEMI",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "407-936-4635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS-MEDICARE",
            "identifier": "GH092A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2012; 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.