OMNI-CARE MEDICAL CENTER, INC. (NPI# 1265673271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265673271 |
| Entity Type | Organization |
| Organization Name | OMNI-CARE MEDICAL CENTER, INC. |
| Practice Address |
2511 W Church St Orlando FL 32805-2329 |
| Practice Telephone | 4075789142 |
| Practice Fax Number | 4072978420 |
| Mailing Telephone | 4075789142 |
| Mailing Fax Number | 4072978420 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |
| Authorized Official Name | DR. OWEN DELROY FRASER (OWNER) |
| Authorized Official Telephone | 4075789142 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
ME30256 | FL | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME30256 | FL | Ambulatory Health Care Facilities |
| Street Address |
2511 W CHURCH ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32805-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609497734 | Vital Life Virtual Care | Psychiatry & Neurology | 2511 W Church St, Orlando, FL 32805-2329 | 2020-04-29 |
| 1770137572 | Guardian Day Healthcare for Seniors LLC | Clinic/Center | 2511 W Church St, Orlando, FL 32805-2329 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1639731557 | Relyancecorp | Non-emergency Medical Transport (VAN) | 15 N Tanpa Ave, Orlando, FL 32805 | 2019-07-01 |
| 1518477231 | Evolution Insight Incorporated | Community/Behavioral Health | 1521 W Washington St, Orlando, FL 32805 | 2017-10-08 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1407238033 | Vickie Marie Ferguson | Social Worker | 3700 34th St Ste 100f, Orlando, FL 32805 | 2015-06-19 |
| 1508248287 | Compassionate Care Community Health Services LLC | In Home Supportive Care | 927 S. Goldwyn Ave, Suite 230, Orlando, FL 32805 | 2015-06-18 |
| 1750772612 | Rx Florida Pharmacy,llc | Pharmacist | 3615 Columbia St, Orlando, FL 32805 | 2015-02-13 |
| 1588053946 | Speech Steps | Speech-Language Pathologist | 2607 Windward Ct., Orlando, FL 32805 | 2015-01-22 |
| 1831597426 | Vonda White | Counselor | 1602 Crooms Ave., Orlando, FL 32805 | 2014-12-12 |
| 1558788653 | Laura F Lucas | Case Management | 750 S. Obt Suite 111, Orlando, FL 32805 | 2014-03-26 |
| Find all providers in zip 32805 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941280 | Central Florida Anesthesia Services LLC | Clinic/Center | 110 W Underwood St Ste B, Orlando, FL 32806-1139 | 2019-03-14 |
| 1720335839 | Howard Eugene Gross | Clinic/Center | 8612 S Bay Dr, Orlando, FL 32819-4947 | 2012-08-08 |
| 1073874145 | Omnicare Medical Center Inc | Clinic/Center | 1805 W Colonial Dr, Suite A, Orlando, FL 32804-7013 | 2012-06-05 |
| 1679729271 | Kyle M. Crofoot, M.d., P.a. | Clinic/Center | 1400 Hillcrest St, Orlando, FL 32803-4709 | 2008-08-14 |
| 1982860482 | Ear Nose and Throat Specialists of St Cloud LLC | Clinic/Center | 7575 Dr. Phillips Blvd, Suite 10, Orlando, FL 32819-7221 | 2008-08-04 |
| 1972766244 | Wellness Chiropractic Care Center | Clinic/Center | 9521 S. Orange Blossom Trl, Ste102, Orlando, FL 32837 | 2008-07-08 |
| 1669672044 | A. R. Copely, Jr, Pa | Clinic/Center | 1455 Holden Ave, Orlando, FL 32839-1702 | 2007-07-23 |
| 1598252090 | Regenerative Sport Spine and Spa | Clinic/Center | 10920 Moss Park Rd Ste 218, Orlando, FL 32832-6087 | 2018-04-19 |
| 1053760181 | Medsurg Healthcare Services, LLC | Clinic/Center | 801 N Orange Ave, Suite 710, Orlando, FL 32801-1026 | 2016-06-09 |
| 1033499280 | Advanced Cardiac Screening, Pllc | Clinic/Center | 13000 Avalon Lake Dr, Suite 100, Orlando, FL 32828-6434 | 2011-08-19 |
| 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.