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DOCTOR'S ASSOCIATES OF ORLANDO , LLC
NPI 1093012049
Family Medicine in Maitland, FL

Active since February 26, 2011CLIA 10D2022672 · Waiver
670 N ORLANDO AVE STE 1012, MAITLAND, FL 32751(407) 790-7870(407) 790-7872 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Doctor's Associates Of Orlando , Llc NPPES

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

DOCTOR'S ASSOCIATES OF ORLANDO , LLC (NPI 1093012049) is a healthcare organization registered as a family medicine in Maitland, Florida and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Prudent Marcelin, President, as its authorized official.

NPPES Registry Identity

NPI1093012049
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOCTOR'S ASSOCIATES OF ORLANDO , LLC
Location Address670 N ORLANDO AVE STE 1012Maitland, FL 32751-4465
Mailing Address670 N Orlando Ave Ste 1012Maitland, FL 32751-4465 · (407) 790-7870 · Fax (407) 790-7872
Phone(407) 790-7870
Fax(407) 790-7872
Organization SubpartNo
Authorized OfficialPrudent MarcelinPresident · (954) 557-8701
Enumeration DateFebruary 26, 2011
Last NPPES UpdateJuly 20, 2011
✔ NPI 1093012049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · L11000021999
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
670 N ORLANDO AVE STE 1012, Maitland, FL 32751
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Other Identifiers 4

Medicare UPIN1093012049FL
Medicare OSCAR/certification1093012049FL
Medicare PIN1093012049FL
Medicare NSC1093012049FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Doctor's Associates Of Orlando , Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Doctor's Associates Of Orlando , LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Prudent Marcelin, MD
Family Practice
NPI 1013249549
670 N ORLANDO AVE STE 1012
Maitland, FL 32751
(407) 790-7870
✔ PECOS✔ Accepts MedicareSame address

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

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 10D2022672

Doctors Associates Of Orlando · Maitland, FL
Active · expires Apr 6, 2027
CLIA Number10D2022672
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorMarcelin Prudent
Laboratory Phone(954) 557-8701
Laboratory LocationDoctors Associates Of Orlando670 N Orlando Ave Ste 1012, Maitland, FL 32751
CLIA data matches this NPI record on: Address 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 Doctor's Associates Of Orlando , LLC's NPI number?

The NPI number for Doctor's Associates Of Orlando , LLC is 1093012049. It was assigned to this organization in the NPPES registry on February 26, 2011.

Where is Doctor's Associates Of Orlando , LLC located?

Doctor's Associates Of Orlando , LLC is located at 670 N Orlando Ave Ste 1012, Maitland, FL 32751. The listed phone number is (407) 790-7870.

What is Doctor's Associates Of Orlando , LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Doctor's Associates Of Orlando , LLC enrolled in Medicare?

Yes. Doctor's Associates Of Orlando , LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Doctor's Associates Of Orlando , LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Doctor's Associates Of Orlando , LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Doctor's Associates Of Orlando , LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2022672) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Doctor's Associates Of Orlando , LLC was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.