MP Primary Care Services

Nephrology Physician · Avon Park, FL

Organization Active NPI

NPI number 1609512656

Practice location

2778 Us Highway 27 S
Avon Park, FL 33825-9755
Phone
(863) 358-0500
Fax
(863) 358-0508

Open in Google Maps

NPI record

NPI
1609512656
Entity type
Organization (Type 2)
Enumeration date
May 11, 2022
Last updated
June 18, 2025
Certified
June 18, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nephrology Physician Primary 207RN0300X — —
Internal Medicine Physician 207R00000X — —
Family Nurse Practitioner 363LF0000X — —
Psychiatric/Mental Health Nurse Practitioner 363LP0808X — —
Primary Care Nurse Practitioner 363LP2300X — —

Authorized official

Name
Orland Mata
Title
CEO
Phone
(863) 840-0639

About MP Primary Care Services

MP Primary Care Services is a healthcare organization registered in the NPI registry with the primary taxonomy Nephrology Physician (code 207RN0300X). The practice location is 2778 Us Highway 27 S, Avon Park, FL 33825-9755. The NPI number 1609512656 was assigned on May 11, 2022 and the record was last updated on June 18, 2025.

The authorized official for this organization is Orland Mata, CEO.

Frequently asked questions

What is the NPI number of MP Primary Care Services?

The NPI number is 1609512656.

What is the phone number of MP Primary Care Services?

The phone number listed for the practice location is (863) 358-0500.

Where is MP Primary Care Services located?

2778 Us Highway 27 S, Avon Park, FL 33825-9755.

What is the taxonomy code for MP Primary Care Services?

The primary taxonomy code is 207RN0300X – Nephrology Physician; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Nephrology Physician providers in Avon Park

All Nephrology Physician providers in Avon Park, FL →