Lake Conway Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

ME107101 Issued in FL

Legal business name

LAKE CONWAY URGENT CARE LLC

Practice address

5058 S Conway Rd
Orlando, FL 32812-1258

Phone

(407) 851-2790

Fax

(407) 851-2791

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Patrick H Dang, MD

Title

Manager

Phone

(407) 851-2790

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Pharris

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1245081264
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1215218532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 S CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328121258",
            "telephone_number": "407-851-2790",
            "fax_number": "407-851-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 S CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328121258",
            "telephone_number": "407-851-2790",
            "fax_number": "407-851-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CONWAY URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-851-2790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME107101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Orlando, FL
• Providers in Orlando, 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 Nov 1, 2012; 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.