# DOWNTOWN PRIMARY CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174356505
- **Authorized official:** LASHUNDA STANDIFER (ADMIN)
- **Authorized official phone:** (407) 863-9111

## Contact information

- **Practice address:** 150 W MICHIGAN ST, ORLANDO, FL 32806-4463
- **Practice address phone:** (407) 863-9111
- **Practice address fax:** (407) 613-5085
- **Mailing address:** PO BOX 568368, ORLANDO, FL 32856-8368
- **Mailing address phone:** (407) 863-9111
- **Mailing address fax:** (407) 613-5085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NN1001X | Nutrition Chiropractor | — | NULL | — |
| 111NN1001X | Nutrition Chiropractor | — | — | — |
| 111NR0200X | Radiology Chiropractor | — | NULL | — |
| 111NR0200X | Radiology Chiropractor | — | — | — |
| 111NX0100X | Occupational Health Chiropractor | — | NULL | — |
| 111NX0100X | Occupational Health Chiropractor | — | — | — |
| 111NX0800X | Orthopedic Chiropractor | — | NULL | — |
| 111NX0800X | Orthopedic Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2024
- **Last updated:** 09/16/2024