NPIMap

Organization Active NPI

I Care Clinic LLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1407009145
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME95960 Issued in FL
Legal business name
I CARE CLINIC LLC
Practice address
7300 Sandlake Commons Blvd Ste 227
Orlando, FL 32819-8008
Phone
(407) 426-4099
Fax
(407) 809-5243
NPI assigned
Oct 28, 2008
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Junaid A SyedNPI 1386684983
Title
Medical Director
Phone
(407) 953-9296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME95960 FL Primary

Addresses

Primary practice location

7300 Sandlake Commons Blvd Ste 227
Orlando, FL 32819-8008

Mailing address

7300 Sandlake Commons Blvd Ste 227
Orlando, FL 32819-8008
Phone (407) 426-4099

Other identifiers 2

IdentifierTypeStateIssuer
001295200MedicaidFL
C1347AOtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

1962 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 935-0623

5608 Pershing Ave
Orlando, FL 32822
Phone (407) 373-1163

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1407009145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD STE 227",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198008",
            "telephone_number": "407-426-4099",
            "fax_number": "407-809-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD STE 227",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198008",
            "telephone_number": "407-426-4099",
            "fax_number": "407-809-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-953-9296"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME95960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001295200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C1347A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.