Provider Demographics
NPI:1841655180
Name:IN HOME PRIMARY CARE INC
Entity type:Organization
Organization Name:IN HOME PRIMARY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:407-720-8765
Mailing Address - Street 1:PO BOX 690722
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32869-0722
Mailing Address - Country:US
Mailing Address - Phone:407-720-8765
Mailing Address - Fax:407-386-6881
Practice Address - Street 1:11380 ASHBORO DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-9022
Practice Address - Country:US
Practice Address - Phone:407-720-8765
Practice Address - Fax:407-386-6881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIL483AMedicare PIN