Active NPI
Medical Village Holdings Inc
Doing business as Medical Village Evening Care Pediatrics
- Urgent Care Clinic/Center
- Orlando, FL
National Provider Identifier
1871558973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.