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LAKE CONWAY URGENT CARE LLC NPI 1215218532


NPI Information

NPI: 1215218532
Provider Name: LAKE CONWAY URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2042336

Address:
5058 S CONWAY RD
ORLANDO, FL
ZIP 32812
Phone: (407) 851-2790
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LAKE CONWAY URGENT CARE LLC is an urgent care clinic center in Orlando, FL. LAKE CONWAY URGENT CARE LLC NPI is 1215218532. The provider is registered as an organization entity type.

The provider's business location address is:

5058 S CONWAY RD
ORLANDO, FL
ZIP 32812-258
Phone: (407) 851-2790
Fax: (407) 851-2791

The provider's authorized official is Patrick H Dang .
The authorized official title is Manager and has the following contact phone number (407) 851-2790.

The CLIA number assigned to this NPI record is 10D2042336 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2011 and was last updated on 11/1/2012.


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 CareME107101FLORIDAYes

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: 5/5/2024

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