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WEST COLONIAL URGENT CARE NPI 1639613565


NPI Information

NPI: 1639613565
Provider Name: WEST COLONIAL URGENT CARE
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
4220 W COLONIAL DR
SUITE 3
ORLANDO, FL
ZIP 32808
Phone: (407) 270-5124
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WEST COLONIAL URGENT CARE is an emergency medicine in Orlando, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WEST COLONIAL URGENT CARE NPI is 1639613565. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4220 W COLONIAL DR
SUITE 3
ORLANDO, FL
ZIP 32808-174
Phone: (407) 270-5124
Fax: (407) 270-5125

The provider's authorized official is Srujani Gaddam .
The authorized official title is Medical Doctor and has the following contact phone number (407) 270-5124.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineME125820FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ME 125820OTHERFLORIDASTATE LICENSE

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: 4/28/2024

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