Central Florida Pediatric Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CENTRAL FLORIDA PEDIATRIC URGENT CARE, LLC

Doing business as

Pediatric Urgent Care

Practice address

425 S Hunt Club Blvd
Suite 1001
Apopka, FL 32703-4947

Phone

(407) 865-6564

NPI assigned

Nov 10, 2014

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Chaban

Title

Owner

Phone

(407) 865-6564

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pediatric Urgent Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1144626771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S HUNT CLUB BLVD",
            "address_2": "SUITE 1001",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327032428",
            "telephone_number": "407-865-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S HUNT CLUB BLVD",
            "address_2": "SUITE 1001",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034947",
            "telephone_number": "407-865-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PEDIATRIC URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "CHABAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-865-6564",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME68094",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016916500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriela Ceja
• Nicolas E Centeno Vazquez
• Centerwell Senior Primary Care (FL) Inc. (CenterWell Senior Primary Care of Apopka)
• Central Florida Audiology LLC
• Central Florida Neurology & Sleep Medicine LLC
• Central Florida Physician Partners, LLC
• Central Florida Regional Hospital, Inc. (HCA Florida Wekiva Emergency, a part of HCA Florida Lake Monroe Hospital)
• Cepemart Pharmacy LLC (North Apopka Pharmacy)
• Jessica Cestero
• Carlos Chaban, MD

• Urgent Care Clinic/Center in Apopka, FL
• Providers in Apopka, 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 Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.