Organization
MEDICAL VILLAGE HEALTHCARE GROUP
Active
Parent organization
MEDICAL VILLAGE HEALTHCARE GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL VILLAGE HEALTHCARE GROUP
Authorized official
DR. KHALID MANZUR MD (PRESIDENT)
(407) 888-6990
Entity
Organization
Contact information
Practice address
1462 W OAK RIDGE RD, ORLANDO, FL 32809-3905
(407) 888-6990
(407) 888-3310
Mailing address
816 W OAK ST, KISSIMMEE, FL 34741-6625
(407) 944-9777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME81287
FL
208000000X
Pediatrics Physician
Primary
ME81287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376516575
INDIVIDUAL PROVIDER NPI
FL
01
—
1447223193
INDIVIDUAL PROVIDER NPI
FL
Enumeration date
01/31/2009
Last updated
02/02/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us