MEDCARE XPRESS WALK-IN CLINIC OF AVALON, LLC (NPI# 1144631672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144631672 |
| Entity Type | Organization |
| Organization Name | MEDCARE XPRESS WALK-IN CLINIC OF AVALON, LLC |
| Practice Address |
3861 Avalon Park East Blvd Orlando FL 32828-4853 |
| Practice Telephone | 4073785300 |
| Practice Fax Number | 4077455589 |
| Mailing Telephone | 4073785300 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-06-13 |
| Authorized Official Name | WAYNE RICHARD HILL (PRESIDENT) |
| Authorized Official Telephone | 4073785300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
3861 AVALON PARK EAST BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32828-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811940448 | Susan Stuib | Nurse Practitioner | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2006-05-17 |
| 1376960351 | Florida Primary Care Group. LLC | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2014-03-27 |
| 1346661592 | Primera Choice Walk In Clinic | Family Medicine | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2013-12-13 |
| 1285065540 | Zasa Medical Holdings LLC | Chiropractor | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2013-12-11 |
| 1770912982 | Jarna Patel | Physician Assistant | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2013-11-07 |
| 1881952802 | Primera Choice Urgent Care Center LLC | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2012-04-27 |
| 1386929636 | Primera Urgent Primary Care Center, LLC | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2011-10-19 |
| 1902105877 | Apuc Primary Care | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2011-03-18 |
| 1255642518 | Avalon Park Urgent Care | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057501 | Antonia Mejia | Social Worker | 15260 Sugargrove Way, Orlando, FL 32828 | 2018-06-22 |
| 1871087692 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3502 Avalon Park East Blvd, Orlando, FL 32828 | 2018-06-15 |
| 1386169738 | Ashley Nicole Wilkins | Specialist/Technologist | 2653 Wembleycross Way, Orlando, FL 32828 | 2017-08-07 |
| 1558812388 | Porta Nova Homemaker Companion Services, LLC | In Home Supportive Care | 515 Spring River Drive, Orlando, FL 32828 | 2016-10-17 |
| 1467908715 | Alexander Duque | Dentist | 785 N Alafaya Trail, Orlando, FL 32828 | 2016-08-28 |
| 1568819886 | Nicole Kircher | Behavioral Analyst | 757 Sterling Springs Rd, Orlando, FL 32828 | 2016-05-17 |
| 1477908556 | Sandra Maria Garcia | Speech-Language Pathologist | 4961 Atwood Dr, Orlando, FL 32828 | 2016-04-26 |
| 1821473380 | Sandra Ware | Physical Therapy Assistant | 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 | 2015-07-27 |
| 1649674367 | Lisa M Keough | Occupational Therapist | 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 | 2014-10-09 |
| 1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
| Find all providers in zip 32828 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194228668 | Urgent Family Clinic, LLC | Clinic/Center | 1130 S Semoran Blvd Ste F, Orlando, FL 32807-1457 | 2018-03-12 |
| 1326541897 | Urgent Family Clinic, LLC | Clinic/Center | 11601 S Orange Blossom Trl Ste 101, Orlando, FL 32837-9437 | 2018-03-12 |
| 1134620792 | Lotus Family Health LLC | Clinic/Center | 1803 Park Center Dr Ste 111, Orlando, FL 32835-6216 | 2018-02-27 |
| 1487190609 | Bones Medical Group | Clinic/Center | 8288 Lee Vista Blvd Ste A, Orlando, FL 32829-8071 | 2017-01-11 |
| 1568833093 | Advantage Medical Group LLC | Clinic/Center | 1111-b S Semoran Blvd, Orlando, FL 32807-1480 | 2015-10-09 |
| 1497168173 | Doctors At Home Tri County | Clinic/Center | 11954 Narcoossee Rd Ste 2 #504, Orlando, FL 32832-6998 | 2014-06-10 |
| 1700209400 | Orange Ave Consulting | Clinic/Center | 2106 N Orange Ave, Orlando, FL 32804-5535 | 2014-01-31 |
| 1750621538 | Florida Family Physicians | Clinic/Center | 2840 N Hiawassee Rd, Suite 428, Orlando, FL 32818-3319 | 2013-02-15 |
| 1629322755 | Growing Together Pediatrics, LLC | Clinic/Center | 5164 S. Conway Rd, Orlando, FL 32819-1252 | 2012-10-26 |
| 1558622068 | Gutteridge Jeancharles, Md, Pa | Clinic/Center | 6388 Silver Star Rd Ste 2h, Orlando, FL 32818-3235 | 2012-05-31 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.