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PREMCARE FAMILY MEDICAL CENTER
NPI 1730107780
Specialist in Orlando, FL

Active since July 18, 2006CLIA 10D0275601 · Waiver
4501 S SEMORAN BLVD, ORLANDO, FL 32822(407) 380-1428(407) 380-0754 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premcare Family Medical Center NPPES

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

PREMCARE FAMILY MEDICAL CENTER (NPI 1730107780) is a healthcare organization registered as a specialist in Orlando, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Muhammad A Awan, Medicine Doctor, as its authorized official.

NPPES Registry Identity

NPI1730107780
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMCARE FAMILY MEDICAL CENTER
Location Address4501 S SEMORAN BLVDOrlando, FL 32822-2407
Mailing Address4501 S Semoran BlvdOrlando, FL 32822-2407 · (407) 380-1428 · Fax (407) 380-0754
Phone(407) 380-1428
Fax(407) 380-0754
Organization SubpartNo
Authorized OfficialMuhammad A AwanMedicine Doctor · (407) 380-1428
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1730107780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0068874
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4501 S SEMORAN BLVD, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D0275601

Premcare Family Medical Center · Orlando, FL
Active · expires May 8, 2028
CLIA Number10D0275601
Laboratory TypePractitioner Other
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorM Awan
Laboratory Phone(407) 380-1428
Laboratory LocationPremcare Family Medical Center4501 S Semoran Blvd, 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 6

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

ABID RASOOL, M.D., P.A.
Internal Medicine
4501 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 380-1428
MRS. LISA NEWTON ARNP
Nurse Practitioner (Family)
4501 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 221-5617
MUHAMMAD A AWAN MD
Internal Medicine
4501 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 380-1428
DR. ABID RASOOL M.D.
Internal Medicine
4501 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 380-1428
DANA KEELER
Nurse Practitioner (Family)
4501 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (321) 445-7418
MS. KIMESHA WILSON
Student in an Organized Health Care Education/Training Program
4501 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 380-1428

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 Premcare Family Medical Center's NPI number?

The NPI number for Premcare Family Medical Center is 1730107780. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Premcare Family Medical Center located?

Premcare Family Medical Center is located at 4501 S Semoran Blvd, Orlando, FL 32822. The listed phone number is (407) 380-1428.

What is Premcare Family Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Premcare Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0275601) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premcare Family Medical Center accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Premcare Family Medical Center 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 Premcare Family Medical Center was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.