Provider Demographics
NPI:1447621362
Name:ORLANDO URGENT CARE, LLC
Entity type:Organization
Organization Name:ORLANDO URGENT CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-296-1000
Mailing Address - Street 1:2700 OLD WINTER GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-2964
Mailing Address - Country:US
Mailing Address - Phone:407-253-7850
Mailing Address - Fax:407-656-4177
Practice Address - Street 1:2700 OLD WINTER GARDEN RD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-2964
Practice Address - Country:US
Practice Address - Phone:407-253-7850
Practice Address - Fax:407-656-4177
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORLANDO HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-19
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4119207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty