NPIMap

Organization Active NPI

Xpress Urgent Care, LLC.

  • Urgent Care Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1407599855
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
XPRESS URGENT CARE, LLC.
Practice address
2546 Simpson Road
Kissimmee, FL 34744-3474
Phone
(407) 632-4217
Fax
(407) 632-4226
NPI assigned
Apr 14, 2022
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
XPRESS URGENT CARE, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Mazin M Shikara, MDNPI 1316967912
Title
President
Phone
(561) 779-1652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

2546 Simpson Road
Kissimmee, FL 34744-3474

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582

Other identifiers 1

IdentifierTypeStateIssuer
008195614MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Xpress Urgent Carellc14 organizations share this tax ID, including this one
Part of
Xpress Urgent Carellc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

2546 Simpson Rd
Kissimmee, FL 34744
Phone (407) 632-4217

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": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1407599855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 SIMPSON ROAD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443474",
            "telephone_number": "407-632-4217",
            "fax_number": "407-632-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESS URGENT CARE, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XPRESS URGENT CARE, LLC.",
        "enumeration_date": "2022-04-14",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "SHIKARA",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-779-1652",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008195614",
            "state": "FL"
        }
    ],
    "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 Aug 2, 2023; 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.