NPIMap

Organization Active NPI

Guidewell Emergency Medicine Doctors, LLC

  • Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1003416843
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
Practice address
2465 N Orange Blossom Trail
Kissimmee, FL 34744
Phone
(407) 917-5911
NPI assigned
Oct 30, 2020
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Walker, RN
Title
VP of Operations
Phone
(904) 885-2413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2465 N Orange Blossom Trail
Kissimmee, FL 34744

Mailing address

4800 Deerwood Campus Pkwy FL Dc1004
Jacksonville, FL 32246-8317
Phone (904) 885-2413

National Provider Directory

National Provider Directory
Tax ID family
Guidewell Emergency Medicine Doctors LLC19 organizations share this tax ID, including this one
Part of
Guidewell Emergency Medicine Doctors LLC

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

4800 Deerwood Campus Pkwy
Fl DC1004
Jacksonville, FL 32246

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1003416843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 DEERWOOD CAMPUS PKWY FL DC1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468317",
            "telephone_number": "904-885-2413",
            "fax_number": "904-647-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 N ORANGE BLOSSOM TRAIL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34744",
            "telephone_number": "407-917-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC",
        "enumeration_date": "2020-10-30",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "904-885-2413",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.