Medical Associates of Greater Orlando

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME114445 Issued in FL

Legal business name

MEDICAL ASSOCIATES OF GREATER ORLANDO

Doing business as

Innovative Express Clinic

Practice address

3014 Michigan Ave
Kissimmee, FL 34744-1542

Phone

(407) 986-0650

Fax

(407) 930-4632

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Prashant Jani, M.D.NPI 1255489993

Title

Medical Doctor / Partner

Phone

(407) 986-0650

Specialties & licenses 3

Addresses

Other names 1

• Innovative Express Clinic Doing business as

Practitioners 1

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

• Prashant Jani, M.D

  • Internal Medicine Physician
  • Sanford, FL
  • NPI 1255489993
  NPD Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1407306806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-986-0650",
            "fax_number": "407-930-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 MICHIGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441542",
            "telephone_number": "407-986-0650",
            "fax_number": "407-930-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF GREATER ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "MEDICAL DOCTOR / PARTNER",
        "authorized_official_telephone_number": "407-986-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114445",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9101079",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9214160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Express Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neha Meda
• Medcare Xpress Walk-in Clinic of Kissimmee,LLC
• Medex Pros, LLC
• Medfund LLC (Horizon Kissimmee LLC)
• Medglam Aesthetics LLC
• Medical Associates, P.a.
• Medical Clinic of Osceola LLC
• Medical Eye Associates (American Optical)
• Medical Eye Associates Inc
• Medical Golden Clinic LLC

• Internal Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.