Organization
URGENT FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE OVALLES (OWNER)
(407) 483-7610
Entity
Organization
Contact information
Practice address
301 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4901
(407) 483-7610
(407) 483-7469
Mailing address
301 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4901
(407) 483-7610
(407) 483-7469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
03/12/2018
Last updated
04/04/2023
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