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
—
—
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
09/11/2025
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