Active NPI
Urgent Family Clinic, LLC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Kissimmee, FL
National Provider Identifier
1376046839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- URGENT FAMILY CLINIC, LLC
- Practice address
- 301 N John Young Pkwy
Kissimmee, FL 34741-4901 - Phone
- (407) 483-7610
- Fax
- (407) 483-7469
- NPI assigned
- Mar 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Ovalles
- Title
- Owner
- Phone
- (407) 483-7610
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
301 N John Young Pkwy
Kissimmee, FL 34741-4901
Mailing address
301 N John Young Pkwy
Kissimmee, FL 34741-4901
Phone (407) 483-7610
Other practice location 1
11601 S Orange Blossom Trl Ste 101
Orlando, FL 32837-9437
Phone (407) 271-4605
Other practice location 2
1130 S Semoran Blvd Ste F
Orlando, FL 32807-1457
Phone (407) 440-3605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11601 S Orange Blossom Trl
Ste 101
Orlando, FL 32837
Phone (407) 271-4605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1922705979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1376046839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N JOHN YOUNG PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414901",
"telephone_number": "407-483-7610",
"fax_number": "407-483-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N JOHN YOUNG PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414901",
"telephone_number": "407-483-7610",
"fax_number": "407-483-7469"
}
],
"practiceLocations": [
{
"address_1": "11601 S Orange Blossom Trl Ste 101",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328379437",
"country_code": "US",
"telephone_number": "407-271-4605",
"fax_number": "407-271-4740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 S Semoran Blvd Ste F",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328071457",
"country_code": "US",
"telephone_number": "407-440-3605",
"fax_number": "407-440-3774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "URGENT FAMILY CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-12",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A",
"authorized_official_last_name": "OVALLES",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-483-7610"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.