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PREMIER PHYSICIANS ORLANDO LLC
NPI 1215403464
Family Medicine in Maitland, FL

Active since October 15, 2018CLIA 10D2128258 · Waiver
331 N MAITLAND AVE STE C1, MAITLAND, FL 32751(407) 644-2218(407) 644-9260 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2019, Oct 15, 2018 (2 updates tracked since 2018).

About Premier Physicians Orlando Llc NPPES

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

PREMIER PHYSICIANS ORLANDO LLC (NPI 1215403464) is a healthcare organization registered as a family medicine in Maitland, Florida and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Sandeep Pandya, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215403464
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER PHYSICIANS ORLANDO LLC
Location Address331 N MAITLAND AVE STE C1Maitland, FL 32751-4754
Mailing Address331 N Maitland Ave Ste C1Maitland, FL 32751-4754 · (407) 644-2218 · Fax (407) 644-9260
Phone(407) 644-2218
Fax(407) 644-9260
Organization SubpartNo
Authorized OfficialSandeep PandyaCeo · (407) 644-2218
Enumeration DateOctober 15, 2018
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1215403464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
331 N MAITLAND AVE STE C1, Maitland, FL 32751
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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

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 10D2128258

Premier Physicians Orlando LLC · Maitland, FL
Active · expires Mar 27, 2027
CLIA Number10D2128258
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorSandeep Pandya
Laboratory Phone(407) 644-2218
Laboratory LocationPremier Physicians Orlando LLC331 N Maitland Ave Ste C-1, Maitland, FL 32751
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SANDEEP PANDYA MD
Family Medicine
331 N MAITLAND AVE STE C1
MAITLAND, FL 32751
Orange County (407) 644-2218

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 Premier Physicians Orlando LLC's NPI number?

The NPI number for Premier Physicians Orlando LLC is 1215403464. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is Premier Physicians Orlando LLC located?

Premier Physicians Orlando LLC is located at 331 N Maitland Ave Ste C1, Maitland, FL 32751. The listed phone number is (407) 644-2218.

What is Premier Physicians Orlando LLC's specialty?

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

Does Premier Physicians Orlando LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2128258) is associated with this NPI, valid through March 27, 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 Premier Physicians Orlando LLC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.