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PRIMECARE MEDICAL CLINIC, PA
NPI 1861688814
Family Medicine in Orlando, FL

Active since September 23, 2007CLIA 10D0941231 · Waiver
2869 WILSHIRE DR, SUITE 205, ORLANDO, FL 32835(407) 295-0500(407) 290-2997 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primecare Medical Clinic, Pa NPPES

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

PRIMECARE MEDICAL CLINIC, PA (NPI 1861688814) is a healthcare organization registered as a family medicine in Orlando, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Mohammed Ak Moosa, President, as its authorized official.

NPPES Registry Identity

NPI1861688814
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMECARE MEDICAL CLINIC, PA
Location Address2869 WILSHIRE DR, SUITE 205Orlando, FL 32835-3282
Mailing Address2869 Wilshire Dr, Suite 205Orlando, FL 32835-3282 · (407) 295-0500 · Fax (407) 290-2997
Phone(407) 295-0500
Fax(407) 290-2997
Organization SubpartNo
Authorized OfficialMohammed Ak MoosaPresident · (407) 830-5080
Enumeration DateSeptember 23, 2007
Last NPPES UpdateMay 6, 2010
✔ NPI 1861688814 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 · ME73277
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.
2869 WILSHIRE DR, Orlando, FL 32835
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Other Identifiers 3

Other42524AFL · Individual Mc Provider #
Medicare UPINF82588FL
Medicare PINK2454FL

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 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 10D0941231

Primecare Medical Clinic · Orlando, FL
Active · expires Feb 22, 2028
CLIA Number10D0941231
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorMuhammad Ak Moosa
Laboratory Phone(407) 295-0500
Laboratory LocationPrimecare Medical Clinic2869 Wilshire Dr Ste 205, Orlando, FL 32835
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 3

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

MOHAMMED AK MOOSA MD
Internal Medicine
2869 WILSHIRE DR, STE 205
ORLANDO, FL 32835
Orange County (407) 295-0500
MANOJ K PATEL, DDS, PLLC
Clinic/Center (Dental)
2869 WILSHIRE DR, SUITE # 101
ORLANDO, FL 32835
Orange County (407) 291-7220
DR. KANIKA SHARMA M.D.
Internal Medicine
2869 WILSHIRE DR, 205
ORLANDO, FL 32835
Orange County (407) 295-0500

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 Primecare Medical Clinic, PA's NPI number?

The NPI number for Primecare Medical Clinic, PA is 1861688814. It was assigned to this organization in the NPPES registry on September 23, 2007.

Where is Primecare Medical Clinic, PA located?

Primecare Medical Clinic, PA is located at 2869 Wilshire Dr Suite 205, Orlando, FL 32835. The listed phone number is (407) 295-0500.

What is Primecare Medical Clinic, PA's specialty?

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

Does Primecare Medical Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0941231) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primecare Medical Clinic, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Primecare Medical Clinic, 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 Primecare Medical Clinic, PA was last updated on May 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.