NPIMap

Organization Active NPI

Excel Pediatrics and Family Care

  • Urgent Care Clinic/Center
  • Clermont, FL
National Provider Identifier
1871500454
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME72542 Issued in FL
Legal business name
EXCEL PEDIATRICS AND FAMILY CARE
Practice address
265 Citrus Tower Blvd
102
Clermont, FL 34711-1908
Phone
(352) 394-3929
Fax
(352) 394-6446
NPI assigned
Aug 3, 2006
Last updated
Oct 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dr. Mohammad Afzal, MD MBANPI 1669411161
Title
Doctor
Phone
(352) 394-3929

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
Rural Health Clinic/Center 261QR1300X NU
Urgent Care Clinic/Center 261QU0200X ME72542 FL Primary

Addresses

Primary practice location

265 Citrus Tower Blvd
102
Clermont, FL 34711-1908

Mailing address

265 Citrus Tower Blvd
102
Clermont, FL 34711-1908
Phone (352) 394-3929

Other identifiers 1

IdentifierTypeStateIssuer
660212600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1871500454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CITRUS TOWER BLVD",
            "address_2": "102",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111908",
            "telephone_number": "352-394-3929",
            "fax_number": "352-394-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CITRUS TOWER BLVD",
            "address_2": "102",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111908",
            "telephone_number": "352-394-3929",
            "fax_number": "352-394-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PEDIATRICS AND FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "AFZAL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "352-394-3929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD  MBA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME72542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660212600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.