URGENT CARE CENTER OF PORT ORANGE, LLC (NPI# 1891905378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891905378 |
| Entity Type | Organization |
| Organization Name | URGENT CARE CENTER OF PORT ORANGE, LLC |
| Other Organization Name | PORT ORANGE URGENT CARE, LLC |
| Practice Address |
1690 Dunlawton Ave Suite 120 Port Orange FL 32127-8980 |
| Practice Telephone | 3862712273 |
| Practice Fax Number | 3862712274 |
| Mailing Telephone | 3862712273 |
| Mailing Fax Number | 3862712274 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | DR. AMMAR HEMAIDAN (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3862712273 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
ME73758 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Port Orange Urgent Care, LLC | Doing Business As Name - Organization |
| Street Address |
1690 DUNLAWTON AVE SUITE 120 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-8980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487684171 | Hassan Zulfiqar | Internal Medicine | 1690 Dunlawton Ave, Suite # 210, Port Orange, FL 32127-8980 | 2006-07-05 |
| 1699207142 | Kelsey Bonnette | Nurse Practitioner | 1690 Dunlawton Ave, Port Orange, FL 32127-8979 | 2017-04-03 |
| 1568911667 | Bessie Kueffler | Nurse Practitioner | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2016-09-29 |
| 1811354525 | Lauren Silver | Counselor | 1690 Dunlawton Ave, 125, Port Orange, FL 32127-8979 | 2016-01-26 |
| 1942691373 | Laurette Cornel | Nurse Practitioner | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2015-02-06 |
| 1760872527 | Advanced Gastroenterology | General Acute Care Hospital | 1690 Dunlawton Ave, Port Orange, FL 32127-8979 | 2015-02-02 |
| 1861890790 | Amer Khatib | Specialist | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2014-12-09 |
| 1225432867 | Progressive Medical Lab, LLC | Clinical Medical Laboratory | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2014-10-10 |
| 1669710273 | Spruce Creek Mental Health Services, LLC | Social Worker | 1690 Dunlawton Ave, Suite 125, Port Orange, FL 32127-8979 | 2013-01-17 |
| 1659623213 | Edward Cecil King | Social Worker | 1690 Dunlawton Ave, Suite 125, Port Orange, FL 32127-8979 | 2012-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1508031246 | Atlantic Urgent Care Pl | Clinic/Center | 870 Dunlawton Avenue, Port Orange, FL 32127 | 2008-04-24 |
| 1902893795 | Coastal Medical Associates Inc | Clinic/Center | 4530 S Ridgewood Ave, Port Orange, FL 32127-4523 | 2005-10-05 |
| 1275798795 | Atlantic Urgent Care, LLC | Clinic/Center | 870 Dunlawton Avenue, Suite 101, Port Orange, FL 32127 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588744 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 3708 Sw College Rd, Ocala, FL 34474-4441 | 2020-11-05 |
| 1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
| 1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
| 1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
| 1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
| 1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
| 1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
| 1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
| 1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
| 1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
Please comment or provide details below to improve the information on URGENT CARE CENTER OF PORT ORANGE, LLC.
| 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.