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NPI · 1104247865 · NPPES-sourced

Express Care Clinic LLC

ActivePrimary Care Clinic
NPI Number
1104247865
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(407) 475-3366
Primary practice line
Last Updated
About 11 years ago (Oct 2014)
Enumerated 2013-12-26
Primary practice addressFL · 32779-4815
2650 W State Road 434Longwood, FL 32779-4815
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About this NPIWhat this record shows.

NPI 1104247865 is registered to Express Care Clinic LLC, a healthcare organisation classified as "Primary Care Clinic" and located at 2650 W State Road 434 in Longwood, Florida. The organisation's authorised official is Oleksandr Onushko. The organisation has been enumerated in the NPI registry since 2013.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2013-12-26
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Express Care Clinic LLC accepts. To confirm in-network status with your specific health plan, contact Express Care Clinic LLC directly at (407) 475-3366.

Frequently asked

Yes. NPI 1104247865 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (407) 475-3366.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Express Care Clinic LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated2014-10
Enumerated2013-12-26
StatusActive
Partneri
partner offer
Tools for healthcare teams.
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