MEDICAL VILLAGE HEALTHCARE GROUP NPI 1861630626

NPI Information

  • NPI: 1861630626
  • Provider Name: MEDICAL VILLAGE HEALTHCARE GROUP
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1462 W OAK RIDGE RD
    ORLANDO, FL
    ZIP 32809
  • Phone: (407) 888-6990

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NPI Details

MEDICAL VILLAGE HEALTHCARE GROUP is a pediatrics in Orlando, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MEDICAL VILLAGE HEALTHCARE GROUP NPI is 1861630626. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1462 W OAK RIDGE RD
ORLANDO, FL
ZIP 32809-905
Phone: (407) 888-6990
Fax: (407) 888-3310

The provider's authorized official is Khalid Manzur .
The authorized official title is President and has the following contact phone number (407) 888-6990.

The enumeration date for this NPI number is 1/31/2009 and was last updated on 2/2/2009.

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
1207R00000XInternal MedicineME81287FLORIDANo
2208000000XPediatricsME81287FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A61366MEDICARE UPINFLORIDA
21376516575OTHERFLORIDAINDIVIDUAL PROVIDER NPI
3G14896MEDICARE UPINFLORIDA
41447223193OTHERFLORIDAINDIVIDUAL PROVIDER NPI

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: 3/30/2025

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