PRIMARY CARE SPECIALISTS LLC


Address: 11140 W Colonial Dr, Suite 1, Ocoee, FL 34761-3300
Phone: 4078772111

PRIMARY CARE SPECIALISTS LLC (NPI# 1124002613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124002613
Entity Type Organization
Organization Name PRIMARY CARE SPECIALISTS LLC
Practice Address 11140 W Colonial Dr
Suite 1
Ocoee
FL 34761-3300
Practice Telephone 4078772111
Practice Fax Number 4078777571
Mailing Telephone 4078772111
Mailing Fax Number 4078777571
Enumeration Date 2005-11-30
Last Update Date 2010-01-06
Authorized Official Name GERALD J KIVETT (PARTNER)
Authorized Official Telephone 4072759014
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name PRIMARY CARE SPECIALISTS LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS GROUP 24506F 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518473800 Primary Care Specialists LLC Family Medicine 2740 W Foster Ave Ste 101, Chicago, IL 60625-3547 2017-12-21
1114901691 Primary Care Specialists LLC Family Medicine 5540 E Grant St, Suite A, Orlando, FL 32822-1668 2005-11-30
1033192539 Primary Care Specialists LLC Family Medicine 4711 Curry Ford Rd, Orlando, FL 32812-2704 2005-11-29
1649253378 Primary Care Specialists LLC Family Medicine 7479 Conroy Rd, Suite A, Orlando, FL 32835-2771 2005-11-28
1215910864 Primary Care Specialists LLC Family Medicine 3100 S Conway Rd, Orlando, FL 32812-7331 2005-11-28
1912980632 Primary Care Specialists LLC Internal Medicine 3615 S Orange Ave, Orlando, FL 32806-6216 2005-11-28
1245213982 Primary Care Specialists LLC Family Medicine 8793 Commodity Cir, Orlando, FL 32819-9005 2005-11-28
1487849824 Primary Care Specialists LLC Family Medicine 60 W Gore St, Orlando, FL 32806-1141 2007-09-10
1831395797 Primary Care Specialists LLC Family Medicine 508 N Mills Ave, Suite D, Orlando, FL 32803-5353 2007-06-26
1366647661 Primary Care Specialists LLC Family Medicine 1800 Mercy Dr, Ste 104, Orlando, FL 32808-5646 2007-06-18

Office Location

Street Address 11140 W COLONIAL DR
SUITE 1
City OCOEE
State FL
Zip Code 34761-3300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205116456 Physician Associates LLC Family Medicine 11140 W Colonial Dr, Suite 1, Ocoee, FL 34761-3300 2011-08-19
1033221411 Tina Bruefach Physician Assistant 11140 W Colonial Dr, #3, Ocoee, FL 34761-3300 2006-08-31
1669432399 Sally Miller Nurse Practitioner 11140 W Colonial Dr, Suite 2, Ocoee, FL 34761-3300 2006-03-25
1639147259 Dva Renal Healthcare Inc Clinic/Center 11140 W Colonial Dr, Ste 5, Ocoee, FL 34761-3300 2006-03-09
1518932953 Steven Lee Brint Internal Medicine 11140 W Colonial Dr, Ste 2, Ocoee, FL 34761-3300 2006-02-21
1386619708 Orlando Fl Endoscopy Asc LLC Clinic/Center 11140 W Colonial Dr, Suite 3, Ocoee, FL 34761-3300 2006-02-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033736186 Alyson Foisy Behavior Technician 2930 Maguire Road, Suite 200, Ocoee, FL 34761 2020-07-05
1033732797 Nephron Care & Dialysis LLC Internal Medicine Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 2020-05-28
1255969259 Medical Risk Solutions Family Medicine 175 N Bluford Ave, Ocoee, FL 34761 2020-03-27
1912533027 Fm Dental, LLC Clinic/Center 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 2020-03-20
1518509330 Noel Christine Montoya Behavior Technician 2930 Maguire Rd Suite 200, Ocoee, FL 34761 2019-10-14
1346895166 Dentists of Ocoee, Pa Dentist 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 2019-08-08
1386209575 Chantal Monde Nurse Practitioner 1000 W Colonial Drive, Ocoee, FL 34761 2019-05-03
1740844422 Angela Renee's Home Care LLC In Home Supportive Care 2398 Cory Ct, Ocoee, FL 34761 2019-04-27
1346713492 Orlando Health Central, Inc. Skilled Nursing Facility 1300 Hempel Avenue, Ocoee, FL 34761 2019-01-10
1609352970 Agape's Way, Inc Nursing Care 1851 Sparkling Water Circle, Ocoee, FL 34761 2018-07-19
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679056311 Osama Ansari LLC Internal Medicine 1551 Boren Dr Ste B, Ocoee, FL 34761-2966 2018-09-10
1780167304 Seniorcare Usa LLC Internal Medicine 2716 Rew Cir Ste 100, Ocoee, FL 34761-4201 2018-09-10
1235515990 Quantumcare Medical, Sports & Injury LLC Internal Medicine 1151 Blackwood Ave. Ste.170, Ocoee, FL 34761 2015-08-05
1770929333 Bradley Polk Walk In Clinic Internal Medicine 119 White Water Dr, Ocoee, TN 37361-3645 2013-05-21
1518252212 Roshan Ashokkumar Patel Internal Medicine 10000 W Colonial Dr Ste 394, Ocoee, FL 34761-3433 2011-06-10
1811900954 Magdalena G. Beltre Internal Medicine 8849 W Colonial Dr, Ocoee, FL 34761-6951 2006-08-13
1457361685 Juan Luis Delgado Internal Medicine 9580 W Colonial Dr, Ocoee, FL 34761-6947 2006-08-09
1164498051 Adnan Khan Internal Medicine 2716 Rew Cir, Suuite 100, Ocoee, FL 34761-4201 2006-02-28
1497721385 Truc T Tran Internal Medicine 10000 W Colonial Dr Ste 184, Ocoee, FL 34761-3434 2006-02-28
1225011885 Thomas H Wentzell Internal Medicine 11140 W Colonial Dr Ste 1, Ocoee, FL 34761-3300 2005-11-28
Find all providers in OCOEE

Competitor

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City OCOEE
Zip Code 34761

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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