Medical Village Healthcare Group

LBN: Medical Village Healthcare Group
Medical Village Healthcare Group is an health care organization with primary practice located at 201 Hilda St Second Floor Suite 21, Kissimmee FL 34741-2320. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Medical Village Healthcare Group can be contacted via phone (407) 944-9777, or through Manzur, Khalid via phone (407) 944-9777.

Contact Information

Primary practice address
201 Hilda St Second Floor Suite 21 Kissimmee FL 34741-2320
Phone: (407) 944-9777
Fax: (407) 888-3310
Website:
Map and Directions
Authorized official contact:
Name: Manzur, Khalid Doctor of Medicine (MD)
Phone: (407) 944-9777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1487621694
LBN Legal business name Medical Village Healthcare Group
DBA Doing business as
Authorized official Manzur, Khalid Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 29th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487621694 NPPES
Florida Other A61366 INDIVIDUAL PROVIDER UPIN
Florida Other 62935Z INDIVIDUAL PROVIDER UPIN
Florida Other AC082Z INDIVIDUAL PROVIDER UPIN
Florida Other G14896 INDIVIDUAL PROVIDER UPIN

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