Innovacare Florida Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

INNOVACARE FLORIDA URGENT CARE, LLC

Practice address

1037 S State Road 7 Ste 113
Wellington, FL 33414-6139

Phone

(561) 798-3030

NPI assigned

Mar 31, 2023

Organization subpart

No

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

Authorized official

Name

Penelope Kokkinides

Title

Chief Administrative Officer

Phone

(201) 270-7825

Specialties & licenses 1

Addresses

Other names 2

• Owl Now Urgent Care Doing business as
• Premier Urgent Care Doing business as

Tax ID family

Innovacare Florida Urgent Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Innovacare Florida Urgent Care

  • Urgent Care Clinic/Center
  • Loxahatchee, FL
  • NPI 1598537359
  NPD tax ID

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1134824154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7 STE 113",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146139",
            "telephone_number": "561-798-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVACARE FLORIDA URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "KOKKINIDES",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "201-270-7825"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owl Now Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Infortunio, LCSW-R, CASAC
• Sandra Rose Marie Ingham, RN
• Inner Balance Family Medicine, LLC
• Inner World Counseling & Healing, LLC
• Innovacare Florida Physicians, LLC
• Innovacare Florida Urgent Care, LLC
• Inspire Health Physical Therapy and Wellness LLC
• Inspired Eyecare LLC
• Inspired Life, Counseling and Coaching
• Inspired Medical PA

• Urgent Care Clinic/Center in Wellington, FL
• Providers in Wellington, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.