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AWA PRIMARY CARE PLLC
NPI 1699523340
Clinic/Center - Primary Care in Indialantic, FL

Active since May 08, 2024CLIA 10D2341144 · Waiver
97 NIEMIRA AVE APT E, INDIALANTIC, FL 32903(407) 579-1616(855) 642-2122 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Awa Primary Care Pllc NPPES

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

AWA PRIMARY CARE PLLC (NPI 1699523340) is a healthcare organization registered as a primary care in Indialantic, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Arilma Milagros Wong Arjona, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699523340
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAWA PRIMARY CARE PLLC
Location Address97 NIEMIRA AVE APT EIndialantic, FL 32903-2936
Mailing Address200 N Palm Ave Unit 33451Indialantic, FL 32903-5019 · (407) 579-1616 · Fax (833) 450-4891
Phone(407) 579-1616
Fax(855) 642-2122
Organization SubpartNo
Authorized OfficialArilma Milagros Wong ArjonaCeo · (407) 579-1616
Enumeration DateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1699523340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
97 NIEMIRA AVE APT E, Indialantic, FL 32903
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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 10D2341144

Awa Primary Care, PLLC · Indialantic, FL
Active · expires Mar 26, 2028
CLIA Number10D2341144
Laboratory TypePractitioner Other
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorArilma Wong Arjona
Laboratory Phone(407) 579-1616
Laboratory LocationAwa Primary Care, PLLC150 Coconut Drive Suite 101, Indialantic, FL 32903
CLIA data matches this NPI record on: 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 Awa Primary Care PLLC's NPI number?

The NPI number for Awa Primary Care PLLC is 1699523340. It was assigned to this organization in the NPPES registry on May 8, 2024.

Where is Awa Primary Care PLLC located?

Awa Primary Care PLLC is located at 97 Niemira Ave Apt E, Indialantic, FL 32903. The listed phone number is (407) 579-1616.

What is Awa Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Awa Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2341144) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Awa Primary Care PLLC was last updated on May 8, 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.