Organization Active NPI

MG Medicine, LLC.

  • Urgent Care Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1912696006
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MG MEDICINE, LLC.
Practice address
1213 N Central Ave
Kissimmee, FL 34741-4407
Phone
(407) 483-4795
Fax
(863) 250-1174
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Melanie Melendez GarciaNPI 1861707457
Title
Owner
Phone
(863) 800-5323

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
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1213 N Central Ave
Kissimmee, FL 34741-4407

Mailing address

13920 Landstar Blvd # 45
Orlando, FL 32824-5524

National Provider Directory

National Provider Directory

Locations

1213 N Central Ave
Kissimmee, FL 34741
Phone (407) 483-4795

209 S Clyde Ave
Kissimmee, FL 34741
Phone (407) 483-4795

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1912696006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 LANDSTAR BLVD # 45",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414407",
            "telephone_number": "407-483-4795",
            "fax_number": "863-250-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG MEDICINE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ GARCIA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-800-5323"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.