Organization Active NPI

Medcare Services of Orlando, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Longwood, FL
National Provider Identifier
1124006036
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OT10429 Issued in FL
Legal business name
MEDCARE SERVICES OF ORLANDO, INC.
Practice address
794 Big Tree Dr Unit 108
Longwood, FL 32750-3553
Phone
(407) 831-8833
Fax
(407) 831-8834
NPI assigned
Jan 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mr. Marcus A. Gilmore, OTR/ L
Title
President and Co-Owner
Phone
(407) 831-8833

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Durable Medical Equipment & Medical Supplies 332B00000X OT10429 FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X ORF#93 FL
Durable Medical Equipment & Medical Supplies 332B00000X OT13163 FL
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

794 Big Tree Dr Unit 108
Longwood, FL 32750-3553

Mailing address

794 Big Tree Dr Unit 108
Longwood, FL 32750-3553
Phone (407) 831-8833

Other names 1

  • Medcare Services Doing business as

National Provider Directory

National Provider Directory

Locations

794 Big Tree Dr
Unit 104
Longwood, FL 32750

794 Big Tree Dr
Unit 108
Longwood, FL 32750
Phone (407) 831-8833

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1124006036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 BIG TREE DR UNIT 108",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503553",
            "telephone_number": "407-831-8833",
            "fax_number": "407-831-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 BIG TREE DR UNIT 108",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503553",
            "telephone_number": "407-831-8833",
            "fax_number": "407-831-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE SERVICES OF ORLANDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT AND CO-OWNER",
        "authorized_official_telephone_number": "407-831-8833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/ L"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "OT10429",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ORF#93",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "OT13163",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.