FAMILY MEDICAL CLINIC, LLC (NPI# 1275089369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275089369 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CLINIC, LLC |
| Practice Address |
1952 N John Young Pkwy Kissimmee FL 34741-3221 |
| Practice Telephone | 4074837610 |
| Mailing Telephone | 4074837610 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | GERARDO MENA (OWNER) |
| Authorized Official Telephone | 4074837610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780126904 | Family Medical Clinic, LLC | Clinic/Center | 11601 S Orange Blossom Trl, Ste 101, Orlando, FL 32837-9437 | 2016-11-07 |
| 1093257156 | Family Medical Clinic, LLC | Clinic/Center | 6512 Carrier Dr, Orlando, FL 32819-8200 | 2016-11-07 |
| 1265893812 | Family Medical Clinic, LLC | Clinic/Center | 9000 Sw 137th Ave, Ste 111, Miami, FL 33186-1411 | 2016-03-10 |
| 1679913859 | Family Medical Clinic, LLC | Clinic/Center | 8180 Nw 36th St, Ste 102, Doral, FL 33166-6645 | 2013-07-02 |
| 1699708842 | Family Medical Clinic, LLC | Family Medicine | 1700 Nw Mock Ave, Blue Springs, MO 64015-3118 | 2006-07-09 |
| Street Address |
1952 N JOHN YOUNG PKWY |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023044674 | Sidi A Elalaoui | Internal Medicine | 1952 N John Young Pkwy, Kissimmee, FL 34741-3221 | 2006-06-24 |
| 1619504479 | Mydr Family Clinic, Pa | General Practice | 1952 N John Young Pkwy, Kissimmee, FL 34741-3221 | 2020-03-23 |
| 1508114133 | Sidi A Elaloui Md.pa | Clinic/Center | 1952 N John Young Pkwy, Kissimmee, FL 34741-3221 | 2012-08-29 |
| 1033489042 | Caridad Gonzalez | General Practice | 1952 N John Young Pkwy, Kissimmee, FL 34741-3221 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093013237 | Aviva Healthcare Inc. | Clinic/Center | 353 Cypress Pkwy, Kissimmee, FL 34759-3326 | 2011-03-12 |
| 1790231827 | Csi-pediatric Services, Inc. | Clinic/Center | 3040 Dyer Blvd, Suite 3028, 3030, Kissimmee, FL 34741-7839 | 2016-08-29 |
| 1235487133 | Mid Florida Medical Specialist | Clinic/Center | 51 N Doverplum Ave, Kissimmee, FL 34758-3308 | 2012-08-27 |
| 1497014617 | Quality Life Health Center Inc. | Clinic/Center | 804 Emmett St, Suite A, Kissimmee, FL 34741-5434 | 2012-05-08 |
| 1184918211 | Cardiocorps LLC | Clinic/Center | 445 Caraway Dr, Kissimmee, FL 34759-5403 | 2011-06-07 |
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| Find all providers with the same taxonomy | ||||
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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.