Primary Care Specialists LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE SPECIALISTS LLC

Practice address

3615 S Orange Ave
Orlando, FL 32806-6216

Phone

(407) 855-2526

Fax

(407) 855-1503

NPI assigned

Nov 28, 2005

Organization subpart

Yes

Parent organization

PRIMARY CARE SPECIALISTS LLCAs reported in NPPES

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

Authorized official

Name

Gerald J Kivett, MD

Title

Partner

Phone

(407) 275-9014

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Primary Care Specialist

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1912980632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066216",
            "telephone_number": "407-855-2526",
            "fax_number": "407-855-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066216",
            "telephone_number": "407-855-2526",
            "fax_number": "407-855-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE SPECIALISTS LLC",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "KIVETT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-275-9014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DC3239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists of Florida, LLC
• Primary Care Specialists of Orlando LLC
• Primary Care Specialists, LLC
• Prime Aaz LLC

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.