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 provides Family Medicine Physician services 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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