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Organization
MEDICAL VILLAGE HOLDINGS INC
Active
Organization
MEDICAL VILLAGE HOLDINGS INC
Active
Other names
Medical Village Evening Care Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID MANZUR MD (PRESIDENT)
(321) 662-3821
Entity
Organization
Contact information
Practice address
1462 W OAK RIDGE ROAD, ORLANDO, FL 32809
(407) 770-0078
(407) 888-3310
Mailing address
816 W OAK STREET, KISSIMMEE, FL 34741
(407) 944-9777
(407) 944-9796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/20/2006
Last updated
09/11/2025
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