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PRIMARY CARE OF CENTRAL FLORIDA INC
NPI 1205903432
General Practice in Orlando, FL

Active since November 30, 2006CLIA 10D2283374 · Waiver
12301 LAKE UNDERHILL RD STE 215, ORLANDO, FL 32828(321) 235-0692(321) 235-0694 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Feb 24, 2025, Nov 23, 2021 and 2 more (5 updates tracked since 2019).

About Primary Care Of Central Florida Inc NPPES

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

PRIMARY CARE OF CENTRAL FLORIDA INC (NPI 1205903432) is a healthcare organization registered as a general practice in Orlando, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 6, 2027, maintains 2 additional practice locations, and lists Gabriel Nuriel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205903432
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRIMARY CARE OF CENTRAL FLORIDA INC
Location Address12301 LAKE UNDERHILL RD STE 215Orlando, FL 32828-4511
Mailing Address12301 Lake Underhill Rd Ste 215Orlando, FL 32828-4511 · (321) 235-0692 · Fax (321) 235-0694
Phone(321) 235-0692
Fax(321) 235-0694
Organization SubpartNo
Authorized OfficialGabriel NurielCeo · (321) 235-0692
Enumeration DateNovember 30, 2006
Last NPPES UpdateFebruary 19, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1205903432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedPodiatristTaxonomy 213E00000X
12301 LAKE UNDERHILL RD STE 215, Orlando, FL 32828
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112301 Lake Underhill Rd Ste 215Orlando, FL 32828-4511 · Phone (321) 235-0692 · Fax (321) 235-0694
Location 2450 N McDonald AveDeland, FL 32724-3634 · Phone (321) 235-0692 · Fax (321) 235-0694

Other Identifiers 1

Medicaid003672800FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primary Care Of Central Florida Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Primary Care Of Central Florida Inc, which bills Medicare for the services they deliver. Of these, 35 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner29
General Practice6
Clinical Social Worker3
Internal Medicine3
Family Practice2
Podiatry2
Psychiatry1
Pulmonary Disease1

Nearest to this location (20)

See all 47
Andrea Barrett, APRN
Nurse Practitioner
NPI 1316699580
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Julie Bavin, NP-C
Nurse Practitioner
NPI 1023481025
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Virginia Brathwaite, APRN, FNP-C
Nurse Practitioner
NPI 1245811934
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(213) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Maria Canales Freckmann, APRN
Nurse Practitioner
NPI 1346116803
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Eric Carlon, APRN, PMHNP -BC
Nurse Practitioner
NPI 1013525294
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Amber Cook, APRN
Nurse Practitioner
NPI 1437956224
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Julie Earp, FNP-C
Nurse Practitioner
NPI 1285128082
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Eric Haljasmaa, DO
General Practice
NPI 1992551386
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Dalieun Jairam
Nurse Practitioner
NPI 1780171017
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Charles Juste, APRN
Nurse Practitioner
NPI 1346717337
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Abhishek Mishra, MD
General Practice
NPI 1053816587
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Baney Nandlall, MD
Internal Medicine
NPI 1760441117
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Gabriel Nuriel, D.O.
Family Practice
NPI 1821168972
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Audrey Paradela, LCSW
Clinical Social Worker
NPI 1851973515
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Edgar Torres, M.D.
General Practice
NPI 1780823252
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Stephanie Torres Boschetti, MD
General Practice
NPI 1992457600
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Tiffany Anderson, LCSW
Clinical Social Worker
NPI 1467199414
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOSSame address
Melissa Kirby, M.D.
General Practice
NPI 1184627374
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Derek Skop, DO
General Practice
NPI 1932848975
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Gardy Valentin, M.D.
Family Practice
NPI 1740598457
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
See all 47 clinicians

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 10D2283374

Primary Care Of Central Florida Inc · Orlando, FL
Active · expires Jun 6, 2027
CLIA Number10D2283374
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorGabriel Nuriel
Laboratory Phone(321) 235-0692
Laboratory LocationPrimary Care Of Central Florida Inc12301 Lake Underhill Rd Suite 215, Orlando, FL 32828
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 Primary Care Of Central Florida Inc's NPI number?

The NPI number for Primary Care Of Central Florida Inc is 1205903432. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Primary Care Of Central Florida Inc located?

Primary Care Of Central Florida Inc is located at 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828. The listed phone number is (321) 235-0692.

What is Primary Care Of Central Florida Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Primary Care Of Central Florida Inc enrolled in Medicare?

Yes. Primary Care Of Central Florida Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Of Central Florida Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 8 Medicare specialties reassign their Medicare billing to Primary Care Of Central Florida Inc. 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. The largest specialties are Nurse Practitioner (29), General Practice (6) and Clinical Social Worker (3). Of these, 35 practice at this address and 37 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Of Central Florida Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2283374) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Of Central Florida Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Primary Care Of Central Florida Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primary Care Of Central Florida Inc was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.