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PAN AMERICAN MEDICAL GROUP LLC
NPI 1356866354
General Practice in Orlando, FL

Active since August 10, 2017CLIA 10D2132696 · Waiver
7359 LAKE UNDERHILL RD, ORLANDO, FL 32822(407) 900-9284(407) 203-8887 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2020, Aug 10, 2017 (2 updates tracked since 2017).

About Pan American Medical Group Llc NPPES

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

PAN AMERICAN MEDICAL GROUP LLC (NPI 1356866354) is a healthcare organization registered as a general practice in Orlando, Florida and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Juan Carlos Cantu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356866354
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePAN AMERICAN MEDICAL GROUP LLC
Location Address7359 LAKE UNDERHILL RDOrlando, FL 32822-6061
Mailing Address11217 History AveOrlando, FL 32832-5210 · (956) 832-2053 · Fax (407) 203-8887
Phone(407) 900-9284
Fax(407) 203-8887
Organization SubpartNo
Authorized OfficialJuan Carlos CantuMedical Director · (407) 900-9284
Enumeration DateAugust 10, 2017
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1356866354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
7359 LAKE UNDERHILL RD, Orlando, FL 32822
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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 10D2132696

Pan American Medical Group, LLC · Orlando, FL
Active · expires Jun 26, 2027
CLIA Number10D2132696
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorJuan C. Cantu
Laboratory Phone(407) 900-9284
Laboratory LocationPan American Medical Group, LLC7359 Lake Underhill Rd, Orlando, FL 32822
CLIA data matches this NPI record on: Address 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.

DR. JUAN CARLOS CANTU M.D.
General Practice
7359 LAKE UNDERHILL RD
ORLANDO, FL 32822
Orange County (407) 900-9284

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 Pan American Medical Group LLC's NPI number?

The NPI number for Pan American Medical Group LLC is 1356866354. It was assigned to this organization in the NPPES registry on August 10, 2017.

Where is Pan American Medical Group LLC located?

Pan American Medical Group LLC is located at 7359 Lake Underhill Rd, Orlando, FL 32822. The listed phone number is (407) 900-9284.

What is Pan American Medical Group LLC's specialty?

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

Does Pan American Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2132696) is associated with this NPI, valid through June 26, 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 Pan American Medical Group LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.