PARK PLACE MEDICAL, LLC
NPI 1063164226
Nurse Practitioner - Family in Orlando, FL

Active since January 19, 2022
1800 PEMBROOK DR STE 300, ORLANDO, FL 32810(407) 712-0514 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Place Medical, Llc NPPES

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

PARK PLACE MEDICAL, LLC (NPI 1063164226) is a healthcare organization registered as a family in Orlando, Florida and active in the NPI registry since January 2022. The organization lists Emma Zainabu Sandi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063164226
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePARK PLACE MEDICAL, LLC
Location Address1800 PEMBROOK DR STE 300Orlando, FL 32810-6378
Mailing Address1800 Pembrook Dr Ste 300Orlando, FL 32810-6378 · (407) 712-0514
Organization SubpartNo
Authorized OfficialEmma Zainabu SandiCeo · (407) 712-0514
Enumeration DateJanuary 19, 2022
NPPES CertifiedJanuary 19, 2022
NPI 1063164226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
1800 PEMBROOK DR STE 300, Orlando, FL 32810

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1800 PEMBROOK DR STE 300
ORLANDO, FL 32810
Home Health
1800 PEMBROOK DR STE 300
ORLANDO, FL 32810
Psychologist (School)
1800 PEMBROOK DR STE 300
ORLANDO, FL 32810
Nurse Practitioner (Family)
1800 PEMBROOK DR STE 300
ORLANDO, FL 32810
In Home Supportive Care
1800 PEMBROOK DR STE 300
ORLANDO, FL 32810
Behavior Technician
1800 PEMBROOK DR STE 300
ORLANDO, FL 32810
Counselor (Mental Health)
1800 PEMBROOK DR STE 300
ORLANDO, FL 32810
In Home Supportive Care
1800 PEMBROOK DR STE 300
ORLANDO, FL 32810

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 Park Place Medical, LLC's NPI number?

The NPI number for Park Place Medical, LLC is 1063164226. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Park Place Medical, LLC located?

Park Place Medical, LLC is located at 1800 Pembrook Dr Ste 300, Orlando, FL 32810. The listed phone number is (407) 712-0514.

What is Park Place Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Park Place Medical, LLC was last updated on January 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.