Provider Demographics
NPI:1699089227
Name:MEDICAL CARE EXPRESS
Entity type:Organization
Organization Name:MEDICAL CARE EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:L
Authorized Official - Last Name:COLVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-295-1441
Mailing Address - Street 1:5287 ALHAMBRA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7203
Mailing Address - Country:US
Mailing Address - Phone:407-295-1441
Mailing Address - Fax:407-292-2331
Practice Address - Street 1:5287 ALHAMBRA DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7203
Practice Address - Country:US
Practice Address - Phone:407-295-1441
Practice Address - Fax:407-292-2331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0008095172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1396859146OtherNPI