PA
NPI 1285812362
Clinic/Center - Urgent Care in Altamonte Springs, FL

Active since January 31, 2008CLIA 10D1085484 · Waiver
411 MAITLAND AVE STE 1002, ALTAMONTE SPRINGS, FL 32701(321) 207-0002(321) 207-2003 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pa NPPES

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

PA (NPI 1285812362) is a healthcare organization registered as an urgent care in Altamonte Springs, Florida and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Seth T Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1285812362
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMAITLAND AVENUE URGENT CARE PA
Location Address411 MAITLAND AVE STE 1002Altamonte Springs, FL 32701-5448
Mailing Address411 Maitland Ave, Suite 1002Altamonte Springs, FL 32701-5448 · (321) 207-0002 · Fax (321) 207-0003
Fax(321) 207-2003
Organization SubpartNo
Authorized OfficialSeth T JohnsonPresident · (321) 207-0002
Enumeration DateJanuary 31, 2008
Last NPPES UpdateFebruary 13, 2014
NPI 1285812362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License Licensed in FL · OS5330
411 MAITLAND AVE STE 1002, Altamonte Springs, FL 32701

Other Names 1

Other NamePa

Other Identifiers 2

Medicare UPINC68470FL
Medicaid051599000FL

Accepted Insurance

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 10D1085484

Maitland Avenue Urgent Care PA · Altamonte Springs, FL
Active · expires Nov 28, 2026
CLIA Number10D1085484
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorSeth T. Johnson
Laboratory Phone(321) 207-0002
Laboratory LocationMaitland Avenue Urgent Care PA411 Maitland Ave Ste 1002, Altamonte Springs, FL 32701
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 Maitland Avenue Urgent Care PA's NPI number?

The NPI number for Maitland Avenue Urgent Care PA is 1285812362. It was assigned to this organization in the NPPES registry on January 31, 2008. The provider is also known as PA.

Where is Maitland Avenue Urgent Care PA located?

Maitland Avenue Urgent Care PA is located at 411 Maitland Ave Ste 1002, Altamonte Springs, FL 32701. The listed phone number is (321) 207-0002.

What is Maitland Avenue Urgent Care PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Maitland Avenue Urgent Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1085484) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maitland Avenue Urgent Care PA accept?

Health plans from AvMed list Maitland Avenue Urgent Care PA 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 Maitland Avenue Urgent Care PA was last updated on February 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.