UNIVERSAL PRIMARY CARE LLC (NPI# 1578962320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578962320 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL PRIMARY CARE LLC |
| Practice Address |
5058 S Conway Rd Orlando FL 32812-1258 |
| Practice Telephone | 4078512790 |
| Practice Fax Number | 4078512709 |
| Mailing Telephone | 4078512790 |
| Mailing Fax Number | 4078512709 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | PATRICK DANG (MANAGER) |
| Authorized Official Telephone | 4078512790 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
ME98622 | FL | Ambulatory Health Care Facilities |
| Street Address |
5058 S CONWAY RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32812-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629268214 | Patrick Dang | Family Medicine | 5058 S Conway Rd, Orlando, FL 32812-1258 | 2007-07-30 |
| 1942551056 | Kay Mekadenaumporn | Physician Assistant | 5058 S Conway Rd, Orlando, FL 32812-1258 | 2012-09-28 |
| 1215218532 | Lake Conway Urgent Care LLC | Clinic/Center | 5058 S Conway Rd, Orlando, FL 32812-1258 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1437666955 | Martika Haggerty | Community Health Worker | 3708 South Conway Road, Orlando, FL 32812 | 2018-01-05 |
| 1407370737 | Mary Brooks | Nurse Practitioner | 3788 Gatlin Place Circle, Orlando, FL 32812 | 2017-07-28 |
| 1730602012 | Kimberly S Arenburg | Licensed Practical Nurse | 2452 S. Conway Rd, Apt 337, Orlando, FL 32812 | 2017-07-19 |
| 1710409388 | Deborah Larson Catron | Massage Therapist | 4848 Berrywood Drive, Orlando, FL 32812 | 2017-07-14 |
| 1689108268 | Royal Transportation Group LLC | Taxi | 3835 Mccoy Road, Orlando, FL 32812 | 2017-04-20 |
| 1205289980 | Yania Bradshaw | Behavioral Analyst | 5212 Lake Margaret Dr., Apt 1210, Orlando, FL 32812 | 2016-07-19 |
| 1730552548 | Sarah Jean Pommier | Counselor | 5120 Louvre Ave, Belle Isle, FL 32812 | 2015-11-03 |
| 1528459336 | Minh Ethan Duc Dang | Physician Assistant | 5058 South Conway Rd, Orlando, FL 32812 | 2015-02-16 |
| Find all providers in zip 32812 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1134673130 | Probody Sports Performance | Clinic/Center | 4798 N Orange Blossom Trl, Orlando, FL 32810-1601 | 2016-08-08 |
| 1689025660 | Elite Mobile Labs, LLC | Clinic/Center | 5824 Lake Pointe Village Cir, 501, Orlando, FL 32822-3570 | 2016-06-30 |
| 1649639576 | Serenity's Diabetic Primary Care | Clinic/Center | 6000 Wolf Rd, Orlando, FL 32808-4259 | 2016-02-20 |
| 1780073353 | American Allergy Inc. | Clinic/Center | 2423 S Orange Ave, Suite 181, Orlando, FL 32806-4543 | 2015-01-20 |
| 1649690322 | Csi Pediatric Services, Inc. | Clinic/Center | 7054 W Colonial Dr, Orlando, FL 32818-6739 | 2014-04-22 |
| 1629494471 | Prestige Medical Services & Rehab LLC | Clinic/Center | 715 N Ferncreek Ave Ste B, Orlando, FL 32803-4108 | 2014-03-17 |
| 1134544612 | Orlando Family Wellness | Clinic/Center | 11883 Gennaro Ln, Orlando, FL 32827-7134 | 2014-02-20 |
| 1053755793 | Prestige Medical Services | Clinic/Center | 2614 E Colonial Dr Ste 400-5, Orlando, FL 32803-5029 | 2013-04-24 |
| Find all providers in ORLANDO | ||||
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| 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.