EXPRESS CARE CLINIC LLC NPI 1104247865

NPI Information

  • NPI: 1104247865
  • Provider Name: EXPRESS CARE CLINIC LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2650 W STATE ROAD 434
    LONGWOOD, FL
    ZIP 32779
  • Phone: (407) 475-3366

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NPI Details

EXPRESS CARE CLINIC LLC is a primary care clinic center in Longwood, FL. EXPRESS CARE CLINIC LLC NPI is 1104247865. The provider is registered as an organization entity type.

The provider's business location address is:

2650 W STATE ROAD 434
LONGWOOD, FL
ZIP 32779-815
Phone: (407) 475-3366
Fax: (407) 475-3367

The provider's authorized official is Oleksandr V Onushko .
The authorized official title is President and has the following contact phone number (407) 475-3367.

The enumeration date for this NPI number is 12/26/2013 and was last updated on 10/3/2014.

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 CareNo
2207QG0300XFamily MedicineGeriatric MedicineNo
32083S0010XPreventive MedicineSports MedicineNo
4207PS0010XEmergency MedicineSports MedicineNo
5261QR0200XClinic/CenterRadiologyNo
6261QP2300XClinic/CenterPrimary CareFLORIDAYes

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: 11/21/2025

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