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KISSIMMEE URGENT CARE NPI 1093187320


NPI Information

NPI: 1093187320
Provider Name: KISSIMMEE URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2144752

Address:
2128 MICHIGAN AVE
KISSIMMEE, FL
ZIP 34744
Phone: (407) 414-1796
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KISSIMMEE URGENT CARE is an urgent care clinic center in Kissimmee, FL. KISSIMMEE URGENT CARE NPI is 1093187320. The provider is registered as an organization entity type.

The provider's business location address is:

2128 MICHIGAN AVE
KISSIMMEE, FL
ZIP 34744-927
Phone: (407) 414-1796
Fax: (407) 483-8946

The provider's authorized official is Latchman Sharma Hardowar .
The authorized official title is Md and has the following contact phone number (407) 414-1796.

The CLIA number assigned to this NPI record is 10D2144752 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2015 and was last updated on 10/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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