Organization Active NPI

NSDC Injury Medical Group Inc

  • Urgent Care Clinic/Center
  • Winter Garden, FL
National Provider Identifier
1649724592
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ACN292 Issued in FL
Legal business name
NSDC INJURY MEDICAL GROUP INC
Practice address
736 S Dillard St
Suite a
Winter Garden, FL 34787-3908
Phone
(407) 378-7866
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Dr. Jaime Jorge-Flores, MD
Title
Owner
Phone
(407) 378-7866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ACN292 FL Primary

Addresses

Primary practice location

736 S Dillard St
Suite a
Winter Garden, FL 34787-3908

Mailing address

736 S Dillard St
Suite a
Winter Garden, FL 34787-3908
Phone (407) 378-7866

National Provider Directory

National Provider Directory

Locations

736 S Dillard St
Ste A
Winter Garden, FL 34787
Phone (407) 656-0505

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1649724592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 S DILLARD ST",
            "address_2": "SUITE A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873908",
            "telephone_number": "407-378-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S DILLARD ST",
            "address_2": "SUITE A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873908",
            "telephone_number": "407-378-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSDC INJURY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "JORGE-FLORES",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-378-7866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ACN292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.