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

Summit Primary Care PLLC

Organization Medical Physician Assistant · NPI 1548143274

Summit Primary Care PLLC is a Medical Physician Assistant in Orlando, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13564 Village Park Dr Unit O-355
Orlando, FL 32837-7760
Phone: (407) 974-4056
Fax: (407) 550-7844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1548143274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gracemarie Walls — Owner · (321) 496-5717
NPI enumeratedJuly 29, 2025
Last updated in NPPESOctober 25, 2025
Certification dateOctober 25, 2025
Mailing address13564 Village Park Dr Unit O-355, Orlando, FL 32837-7760

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