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PRIMED HEALTHCARE PA
NPI 1194833814
Internal Medicine - Cardiovascular Disease in Kissimmee, FL

Active since August 25, 2006CLIA 10D0966312 · Waiver
302 WEST BASS ST, KISSIMMEE, FL 34741(407) 518-7999(407) 518-9766 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Primed Healthcare Pa NPPES

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

PRIMED HEALTHCARE PA (NPI 1194833814) is a healthcare organization registered as a cardiovascular disease in Kissimmee, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Rafael Jimenez, President, as its authorized official.

NPPES Registry Identity

NPI1194833814
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePRIMED HEALTHCARE PA
Location Address302 WEST BASS STKissimmee, FL 34741-5001
Mailing Address302 West Bass StKissimmee, FL 34741-5001 · (407) 518-7999 · Fax (407) 518-9766
Phone(407) 518-7999
Fax(407) 518-9766
Organization SubpartNo
Authorized OfficialRafael JimenezPresident · (407) 518-7999
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 30, 2014
✔ NPI 1194833814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME0059612
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
302 WEST BASS ST, Kissimmee, FL 34741
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Other Identifiers 4

Medicare UPINE95696FL
Medicaid251215700FL
Medicare PIN40739
Medicare UPINE95696

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 MULTIPLE SINGLE SPECIALTY GROUP

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 10D0966312

Primed Healthcare PA · Kissimmee, FL
Active · expires Oct 11, 2027
CLIA Number10D0966312
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorRafael Jimenez
Laboratory Phone(407) 518-7999
Laboratory LocationPrimed Healthcare PA302 W Bass St, Kissimmee, FL 34741
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 Primed Healthcare PA's NPI number?

The NPI number for Primed Healthcare PA is 1194833814. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Primed Healthcare PA located?

Primed Healthcare PA is located at 302 West Bass St, Kissimmee, FL 34741. The listed phone number is (407) 518-7999.

What is Primed Healthcare PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Primed Healthcare PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0966312) is associated with this NPI, valid through October 11, 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 Primed Healthcare PA was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.