Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Primecare Lake Nona, LLC

Organization Family Medicine Physician · NPI 1205128642

Primecare Lake Nona, LLC is a Family Medicine Physician in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10437 Moss Park Rd
Orlando, FL 32832-5812
Phone: (407) 846-8180
Fax: (407) 347-4858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME36463 (FL)
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1205128642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaime Daniels — Ceo · (407) 846-8180
NPI enumeratedMay 4, 2011
Last updated in NPPESJune 20, 2018
Mailing address222 Broadway, Suite 302, Kissimmee, FL 34741

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