OrganizationActive
Primecare Lake Nona, LLC
NPI 1205128642 · Family Medicine Physician · Orlando, FL
Provider details
- NPI number
- 1205128642
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaime Daniels, Ceo(407) 846-8180
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10437 Moss Park Rd
Orlando, FL 32832-5812
Phone: (407) 846-8180
Fax: (407) 347-4858
Approximate (ZIP-level) locationGet directions
Mailing address
222 Broadway
Kissimmee, FL 34741
Registry dates
- Enumerated
- 2011-05-04
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.