Organization Active NPI

Neocity Walk in Medical Care, LLC

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1174306799
Registry record updated Aug 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEOCITY WALK IN MEDICAL CARE, LLC
Practice address
1310 N Main St Ste 105
Kissimmee, FL 34744-4244
Phone
(407) 530-4446
Fax
(407) 530-4447
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2023

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

Authorized official

Name
Inayat Khan, MD
Title
Ceo/Owner
Phone
(407) 361-8221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1310 N Main St Ste 105
Kissimmee, FL 34744-4244

Mailing address

PO Box 421743
Kissimmee, FL 34742-1743
Phone (407) 530-4446

National Provider Directory

National Provider Directory

Locations

1310 N Main St
Ste 105
Kissimmee, FL 34744
Phone (407) 476-4011

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693008000000",
    "number": "1174306799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421743",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347421743",
            "telephone_number": "407-530-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 105",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444244",
            "telephone_number": "407-530-4446",
            "fax_number": "407-530-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOCITY WALK IN MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "INAYAT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "407-361-8221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Aug 26, 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.