Provider Demographics
NPI:1043960750
Name:APOLLO PRIMARY CARE, LLC
Entity Type:Organization
Organization Name:APOLLO PRIMARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SIVAPRIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-887-7565
Mailing Address - Street 1:721 CIARA CREEK CV
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4659
Mailing Address - Country:US
Mailing Address - Phone:407-887-7565
Mailing Address - Fax:407-887-1955
Practice Address - Street 1:721 CIARA CREEK CV
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4659
Practice Address - Country:US
Practice Address - Phone:407-887-7565
Practice Address - Fax:407-887-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty