Organization Active NPI

Medical Village Holdings Inc

Doing business as Medical Village Evening Care Pediatrics

  • Urgent Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1871558973
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDICAL VILLAGE HOLDINGS INC
Doing business as
Medical Village Evening Care Pediatrics
Practice address
1462 W Oak Ridge Road
Orlando, FL 32809
Phone
(407) 770-0078
Fax
(407) 888-3310
NPI assigned
Apr 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Khalid Manzur, MD
Title
President
Phone
(321) 662-3821

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

1462 W Oak Ridge Road
Orlando, FL 32809

Mailing address

816 W Oak Street
Kissimmee, FL 34741
Phone (407) 944-9777

Other names 1

  • Medical Village Evening Care Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871558973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W OAK STREET",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-944-9777",
            "fax_number": "407-944-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 W OAK RIDGE ROAD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32809",
            "telephone_number": "407-770-0078",
            "fax_number": "407-888-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL VILLAGE HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MANZUR",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-662-3821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Village Evening Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.