Medcare Xpress Walk-in Clinic of Kissimmee,LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDCARE XPRESS WALK-IN CLINIC OF KISSIMMEE,LLC

Practice address

1122 N Main St
Kissimmee, FL 34744-4283

Phone

(407) 378-5300

Fax

(407) 745-5589

NPI assigned

Jul 1, 2014

Organization subpart

No

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

Authorized official

Name

Wayne Richard Hill Jr.

Title

Ceo

Phone

(407) 780-6401

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1700292547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444283",
            "telephone_number": "407-378-5300",
            "fax_number": "407-530-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444283",
            "telephone_number": "407-378-5300",
            "fax_number": "407-745-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE XPRESS WALK-IN CLINIC OF KISSIMMEE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-780-6401",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Family Pharmacy
• Meaningful Intervention Services
• Med Sprint Logistics
• Med-Bless Trasport Care
• Neha Meda
• Medex Pros, LLC
• Medfund LLC (Horizon Kissimmee LLC)
• Medglam Aesthetics LLC
• Medical Associates of Greater Orlando (Innovative Express Clinic)
• Medical Associates, P.a.

• Primary Care Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.