PRIME HEALTH OF NORTH PORT LLC
NPI 1740228386
Family Medicine in North Port, FL

Active since June 04, 2006CLIA 10D1030054 · Waiver
2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL 34288(941) 423-9936(941) 426-9794 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prime Health Of North Port Llc NPPES

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

PRIME HEALTH OF NORTH PORT LLC (NPI 1740228386) is a healthcare organization registered as a family medicine in North Port, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Lee Gross, Owner, as its authorized official.

NPPES Registry Identity

NPI1740228386
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIME HEALTH OF NORTH PORT LLC
Location Address2975 BOBCAT VILLAGE CENTER RD, SUITE 100North Port, FL 34288-4600
Mailing Address2975 Bobcat Village Center Rd, Suite 100North Port, FL 34288-4600 · (941) 423-9936 · Fax (941) 426-9794
Fax(941) 426-9794
Organization SubpartNo
Authorized OfficialLee GrossOwner · (941) 423-9936
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 27, 2011
NPI 1740228386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME84648
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.
2975 BOBCAT VILLAGE CENTER RD, North Port, FL 34288

Other Identifiers 1

Medicare UPINK5512FL

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 10D1030054

Prime Health Of North Port LLC · North Port, FL
Active · expires Aug 29, 2026
CLIA Number10D1030054
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorLee S. Gross
Laboratory Phone(941) 423-9936
Laboratory LocationPrime Health Of North Port LLC2975 Bobcat Village Center Rd Ste 100, North Port, FL 34288
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 5

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

Clinic/Center (Sleep Disorder Diagnostic)
2975 BOBCAT VILLAGE CENTER RD
NORTH PORT, FL 34288
Family Medicine
2975 BOBCAT VILLAGE CENTER RD, SUITE 100
NORTH PORT, FL 34288
Nurse Practitioner (Family)
2975 BOBCAT VILLAGE CENTER RD, STE. 100
NORTH PORT, FL 34288
Acupuncturist
2975 BOBCAT VILLAGE CENTER RD, 300
NORTH PORT, FL 34288
Acupuncturist
2975 BOBCAT VILLAGE CENTER RD, SUITE # 300
NORTH PORT, FL 34288

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 Prime Health Of North Port LLC's NPI number?

The NPI number for Prime Health Of North Port LLC is 1740228386. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Prime Health Of North Port LLC located?

Prime Health Of North Port LLC is located at 2975 Bobcat Village Center Rd Suite 100, North Port, FL 34288. The listed phone number is (941) 423-9936.

What is Prime Health Of North Port LLC's specialty?

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

Does Prime Health Of North Port LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1030054) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prime Health Of North Port LLC was last updated on September 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.