| Orlando Primary Medicine | |
|
11616 Lake Underhill Rd Ste 215 Orlando FL 32825-4465 | |
| (407) 482-7788 | |
| (407) 482-8698 |
| Full Name | Orlando Primary Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 11616 Lake Underhill Rd Ste 215, Orlando, Florida |
| Authorized Official Name and Position | Vineel Sompalli (PRESIDENT) |
| Authorized Official Contact | 4074827788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Primary Medicine 11616 Lake Underhill Rd Orlando FL 32825-4463 Ph: (407) 482-7788 | Orlando Primary Medicine 11616 Lake Underhill Rd Ste 215 Orlando FL 32825-4465 Ph: (407) 482-7788 |
| NPI Number | 1033230347 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 04/19/2024 |
| Medicare PECOS PAC ID | 6800988619 |
|---|---|
| Medicare Enrollment ID | O20070824000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033230347 | NPI | - | NPPES |
| Provider Name | Vineel Sompalli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588623334 PECOS PAC ID: 8224925839 Enrollment ID: I20040228000534 |
| Provider Name | Shravan S Ambati |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104985290 PECOS PAC ID: 2961416888 Enrollment ID: I20100617000300 |
| Provider Name | Michael Herringshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912302431 PECOS PAC ID: 8628331931 Enrollment ID: I20180420000275 |
| Provider Name | Aalok D Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265759898 PECOS PAC ID: 8224263025 Enrollment ID: I20180703000071 |
| Provider Name | David F Sanjuan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306270509 PECOS PAC ID: 8820229628 Enrollment ID: I20181004003048 |
| Provider Name | Jose N Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285654319 PECOS PAC ID: 3678569357 Enrollment ID: I20181011000316 |
| Provider Name | Adedeji A Onitiri |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639737273 PECOS PAC ID: 6709213200 Enrollment ID: I20200221002706 |
| Provider Name | Donna Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174958771 PECOS PAC ID: 5597189803 Enrollment ID: I20200720003637 |
| Provider Name | Deandra Darmalingum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457015497 PECOS PAC ID: 4486043650 Enrollment ID: I20211109001208 |
| Provider Name | Courtney M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962044354 PECOS PAC ID: 4789067653 Enrollment ID: I20220810003078 |
| Provider Name | Anthony F Gimino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841917879 PECOS PAC ID: 7810364221 Enrollment ID: I20221027001383 |
| Provider Name | Ma Catherine Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194448167 PECOS PAC ID: 2668847252 Enrollment ID: I20230413000447 |
| Provider Name | Fawaz H Abass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184336869 PECOS PAC ID: 2062887433 Enrollment ID: I20230417003014 |
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Spartan Medical Men's Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 | |
Abid Rasool, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 S Semoran Blvd, Orlando, FL 32822 Phone: 407-380-1428 | |
The Medical Concierge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Turkey Lake Rd Ste 208, Orlando, FL 32819 Phone: 407-648-5252 Fax: 407-370-4126 | |
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