Primary Care Of Central Florida Inc | |
12301 Lake Underhill Rd Ste 215 Orlando FL 32828-4511 | |
(321) 235-0692 | |
(321) 235-0694 |
Full Name | Primary Care Of Central Florida Inc |
---|---|
Speciality | Family Medicine |
Location | 12301 Lake Underhill Rd Ste 215, Orlando, Florida |
Authorized Official Name and Position | Gabriel Nuriel (CEO) |
Authorized Official Contact | 3212350692 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Of Central Florida Inc 12301 Lake Underhill Rd Ste 215 Orlando FL 32828-4511 Ph: (321) 235-0692 | Primary Care Of Central Florida Inc 12301 Lake Underhill Rd Ste 215 Orlando FL 32828-4511 Ph: (321) 235-0692 |
NPI Number | 1205903432 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 10/14/2024 |
Medicare PECOS PAC ID | 8628094018 |
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Medicare Enrollment ID | O20051014000365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205903432 | NPI | - | NPPES |
003672800 | Medicaid | FL |
Provider Name | Peter A Pantera |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184750358 PECOS PAC ID: 4789587668 Enrollment ID: I20040128001056 |
Provider Name | Hugh W Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083674766 PECOS PAC ID: 2769385269 Enrollment ID: I20040131000002 |
Provider Name | Ngozi Odoh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376520577 PECOS PAC ID: 6608867627 Enrollment ID: I20040519001051 |
Provider Name | Gabriel Nuriel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821168972 PECOS PAC ID: 3971562695 Enrollment ID: I20041007000608 |
Provider Name | Melissa C Kirby |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1184627374 PECOS PAC ID: 1850388638 Enrollment ID: I20041104000955 |
Provider Name | Nancy Kopitnik |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1518942036 PECOS PAC ID: 1658324736 Enrollment ID: I20050301000533 |
Provider Name | Marc I Peiper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780673509 PECOS PAC ID: 6204882087 Enrollment ID: I20050324000524 |
Provider Name | Ana Marques |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477584357 PECOS PAC ID: 1153346176 Enrollment ID: I20051010000387 |
Provider Name | John R Jutting |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265574800 PECOS PAC ID: 5092869131 Enrollment ID: I20090824000631 |
Provider Name | Fausto R Burgos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679503486 PECOS PAC ID: 2860436821 Enrollment ID: I20100917000560 |
Provider Name | Guillermo Y Nunez-vergana |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720272107 PECOS PAC ID: 0143499632 Enrollment ID: I20110818000400 |
Provider Name | Ruth L Gaines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437401486 PECOS PAC ID: 8729232236 Enrollment ID: I20130211000302 |
Provider Name | Christopher A Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790064863 PECOS PAC ID: 5799915617 Enrollment ID: I20140220000471 |
Provider Name | Danielle Renee Phillippe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760803126 PECOS PAC ID: 6204066269 Enrollment ID: I20140313001057 |
Provider Name | Rachel V Groves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245547116 PECOS PAC ID: 8426280975 Enrollment ID: I20140415001507 |
Provider Name | Tamara Russell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598165607 PECOS PAC ID: 9133340425 Enrollment ID: I20141030001526 |
Provider Name | Cindy Gay Kudley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255675484 PECOS PAC ID: 1759609019 Enrollment ID: I20150416001506 |
Provider Name | Juanetta A Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760875488 PECOS PAC ID: 3476574443 Enrollment ID: I20150505000614 |
Provider Name | Stephanie M. Strobel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063882223 PECOS PAC ID: 6103723226 Enrollment ID: I20151121000359 |
Provider Name | Jemma Shirley Small |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821462425 PECOS PAC ID: 2163711516 Enrollment ID: I20160525001194 |
Provider Name | Janet Hyacinth Brown Depass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407212608 PECOS PAC ID: 3072805662 Enrollment ID: I20160629002220 |
Provider Name | Beverley Y Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497175921 PECOS PAC ID: 4284917782 Enrollment ID: I20170207002997 |
Provider Name | Sarah Marie Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801337738 PECOS PAC ID: 2567749641 Enrollment ID: I20170426002791 |
Provider Name | Mirtha N Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639613375 PECOS PAC ID: 1951688803 Enrollment ID: I20170503000779 |
Provider Name | Ines A Serrano Vilca |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659808285 PECOS PAC ID: 6103198254 Enrollment ID: I20170824000038 |
Provider Name | Angelo Rutty Espinoza |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1790169423 PECOS PAC ID: 5496063240 Enrollment ID: I20170919003627 |
Provider Name | Juvelyne Yap De Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366969313 PECOS PAC ID: 1052677952 Enrollment ID: I20171109000969 |
Provider Name | Lalaine Dela Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427549799 PECOS PAC ID: 9537418256 Enrollment ID: I20180814000987 |
Provider Name | Julie K Earp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285128082 PECOS PAC ID: 9032460654 Enrollment ID: I20180920002634 |
Provider Name | Dalieun O Jairam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780171017 PECOS PAC ID: 1052656907 Enrollment ID: I20181220001542 |
Provider Name | Luis Daniel Correa Luna |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497721641 PECOS PAC ID: 9638112618 Enrollment ID: I20190212000657 |
Provider Name | Tony John Mcneill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447814488 PECOS PAC ID: 6204179161 Enrollment ID: I20190515003118 |
Provider Name | Edgar Torres |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1780823252 PECOS PAC ID: 5496809246 Enrollment ID: I20190524000269 |
Provider Name | Sheila Ranee Blake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992265979 PECOS PAC ID: 3971836297 Enrollment ID: I20190531000487 |
Provider Name | Antonio Cruz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669033577 PECOS PAC ID: 4486983343 Enrollment ID: I20190903001494 |
Provider Name | Gregory Lewis Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871053280 PECOS PAC ID: 9032442157 Enrollment ID: I20190913002059 |
Provider Name | Janet Marie Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508413063 PECOS PAC ID: 9537499074 Enrollment ID: I20190925002022 |
Provider Name | Benyam P Yoseph |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1114312261 PECOS PAC ID: 7618286790 Enrollment ID: I20190930001239 |
Provider Name | Brianna R Pichard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396221743 PECOS PAC ID: 0749511798 Enrollment ID: I20191007001162 |
Provider Name | Tamekia Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164903928 PECOS PAC ID: 0244662054 Enrollment ID: I20191118000391 |
Provider Name | Michelie Levrier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669945747 PECOS PAC ID: 4981037389 Enrollment ID: I20191125001651 |
Provider Name | Melba Mae Eda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992356059 PECOS PAC ID: 0749613578 Enrollment ID: I20191209000821 |
Provider Name | Tara Lynn Alfred |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477106052 PECOS PAC ID: 7012341803 Enrollment ID: I20200103000848 |
Provider Name | Millian Okafor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114403631 PECOS PAC ID: 5193152619 Enrollment ID: I20200224000610 |
Provider Name | Claudia Rodriguez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265781611 PECOS PAC ID: 8921435132 Enrollment ID: I20200228001182 |
Provider Name | Channa B Williams |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285757021 PECOS PAC ID: 4587704291 Enrollment ID: I20200616001307 |
Provider Name | Eric A Carlon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013525294 PECOS PAC ID: 3971913567 Enrollment ID: I20201111000379 |
Provider Name | Abhishek Mishra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053816587 PECOS PAC ID: 8123438637 Enrollment ID: I20201111001472 |
Provider Name | Brenda Lee Mcfadden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124450465 PECOS PAC ID: 5496971665 Enrollment ID: I20210120000612 |
Provider Name | Patricia Carlin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033165600 PECOS PAC ID: 9830087782 Enrollment ID: I20210222002090 |
Provider Name | Stacie Quedenfeld |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407410970 PECOS PAC ID: 7618385303 Enrollment ID: I20210419000843 |
Provider Name | Melissa Castro Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598344988 PECOS PAC ID: 5799193199 Enrollment ID: I20210423002193 |
Provider Name | Alex J Vera Moran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780269753 PECOS PAC ID: 4880093780 Enrollment ID: I20210526001213 |
Provider Name | Jaime Machado Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043892755 PECOS PAC ID: 7113321126 Enrollment ID: I20210812000287 |
Provider Name | Rolando Urgelles Del Toro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619377439 PECOS PAC ID: 9537551858 Enrollment ID: I20220119001138 |
Provider Name | Nicole Simone Gillings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447914148 PECOS PAC ID: 3678966769 Enrollment ID: I20220214001515 |
Provider Name | Andrea Jean Barrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316699580 PECOS PAC ID: 5991199671 Enrollment ID: I20220222002177 |
Provider Name | Nicole Teresa Mccloskey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538748876 PECOS PAC ID: 5597159236 Enrollment ID: I20220223001875 |
Provider Name | Dani Korya |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1235426347 PECOS PAC ID: 4486978749 Enrollment ID: I20220428001684 |
Provider Name | Charles Juste |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346717337 PECOS PAC ID: 7911387394 Enrollment ID: I20220701000185 |
Provider Name | Tashie Varnadore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912640178 PECOS PAC ID: 6507240173 Enrollment ID: I20220831000461 |
Provider Name | Virginia Brathwaite |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245811934 PECOS PAC ID: 3577948272 Enrollment ID: I20220916000089 |
Provider Name | Hope Conway Champion |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659097079 PECOS PAC ID: 5294104063 Enrollment ID: I20221219000118 |
Provider Name | Stephanie Torres Boschetti |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992457600 PECOS PAC ID: 5799130860 Enrollment ID: I20231010000279 |
Provider Name | Melinda Deiparine Ong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548040207 PECOS PAC ID: 8729433651 Enrollment ID: I20231013000106 |
Provider Name | Shilpa Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891565487 PECOS PAC ID: 1557713989 Enrollment ID: I20240122000881 |
Provider Name | Ashley Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841072949 PECOS PAC ID: 9133566763 Enrollment ID: I20240319001867 |
Provider Name | Nishant Kumar Gupta |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699270710 PECOS PAC ID: 3779833736 Enrollment ID: I20240607001197 |
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