Express Global Medical Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ACN420 Issued in FL

Legal business name

EXPRESS GLOBAL MEDICAL SERVICES

Practice address

12200 W Colonial Dr Ste 200a
Winter Garden, FL 34787

Phone

(407) 347-3687

Fax

(407) 264-6594

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Jackie Medley

Title

Credentialing

Phone

(407) 325-4269

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1407334352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W COLONIAL DR STE 200A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874126",
            "telephone_number": "407-347-3687",
            "fax_number": "407-264-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W COLONIAL DR STE 200A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-347-3687",
            "fax_number": "407-264-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS GLOBAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "407-325-4269"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Evans
• Rowena Evans, LCSW
• Eventura LLC
• Kristine R Everding, MD
• Elizabeth Everett
• Express Pharmacy
• Extra Care City Pharmacy LLC
• Eye Care Associates of Central Florida, P.a.
• Serena Faint, RBT
• Kahdija Bianka Faison, RBT

• Family Medicine Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.