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ALTAMONTEMD
NPI 1003369661
Clinic/Center - Multi-Specialty in Altamonte Springs, FL

Active since August 01, 2016CLIA Certified · 2 labs
460 E ALTAMONTE DR, SUITE 2200, ALTAMONTE SPRINGS, FL 32701(407) 767-0009(407) 767-0022 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2022, Sep 3, 2019, Mar 21, 2017 (3 updates tracked since 2017).

About Altamontemd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTAMONTEMD (NPI 1003369661) is a healthcare organization registered as a multi-specialty in Altamonte Springs, Florida and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Rhonda Kanan, Coo, as its authorized official.

NPPES Registry Identity

NPI1003369661
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKANAN MEDICAL, LLC
Location Address460 E ALTAMONTE DR, SUITE 2200Altamonte Springs, FL 32701-4612
Mailing Address460 E Altamonte Dr, Suite 2200Altamonte Springs, FL 32701-4612 · (407) 767-0009 · Fax (407) 767-0022
Phone(407) 767-0009
Fax(407) 767-0022
Organization SubpartNo
Authorized OfficialRhonda KananCoo · (407) 767-0009
Enumeration DateAugust 1, 2016
Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1003369661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
460 E ALTAMONTE DR, Altamonte Springs, FL 32701
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Other Names 1

Doing Business AsAltamontemd

Secondary Practice Locations 4

Location 12705 Rebecca Ln Ste AOrange City, FL 32763-8336 · Phone (407) 767-0009 · Fax (407) 767-0022
Location 2801 Marshall Farms RdOcoee, FL 34761-3316 · Phone (407) 767-0009 · Fax (407) 767-0022
Location 3265 N CausewayNew Smyrna Beach, FL 32169-5239 · Phone (386) 387-2202 · Fax (407) 767-0022
Location 4413 W 1st StSanford, FL 32771-1207 · Phone (407) 767-0009 · Fax (407) 767-0022

Other Identifiers 1

Medicaid023512400FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Altamontemd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Altamontemd, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Pedro Gonzalez-Morales, MD
Internal Medicine
NPI 1861682270
460 E ALTAMONTE DR STE 2200
Altamonte Springs, FL 32701
(407) 767-0009
✔ PECOS✔ Accepts Medicare0.1 mi
Lindsey Watson, APRN
Nurse Practitioner
NPI 1851854103
1075 MASON AVE
Daytona Beach, FL 32117
(386) 255-4596
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2329288

Kanan Medical LLC · New Smyrna Beach, FL
Active · expires Aug 25, 2027
CLIA Number10D2329288
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorPedro L. Gonzalez Morales
Laboratory Phone(407) 767-0009
Laboratory LocationKanan Medical LLC265 N Causeway, New Smyrna Beach, FL 32169
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2127007

Kanan Medical LLC · Altamonte Springs, FL
Active · expires May 11, 2027
CLIA Number10D2127007
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorPedro L. Gonzalez-Morales
Laboratory Phone(407) 767-0009
Laboratory LocationKanan Medical LLC460 E Altamonte Dr Ste 2200, Altamonte Springs, FL 32701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanan Medical, LLC's NPI number?

The NPI number for Kanan Medical, LLC is 1003369661. It was assigned to this organization in the NPPES registry on August 1, 2016. The provider is doing business as Altamontemd.

Where is Kanan Medical, LLC located?

Kanan Medical, LLC is located at 460 E Altamonte Dr Suite 2200, Altamonte Springs, FL 32701. The listed phone number is (407) 767-0009.

What is Kanan Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Kanan Medical, LLC enrolled in Medicare?

Yes. Kanan Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kanan Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kanan Medical, LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kanan Medical, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Kanan Medical, LLC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.