MEDICARE: CENTRAL FLORIDA URGENT CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME26820	FL

General Provider Information

NPI Number	:	1518063791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA URGENT CARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 547367
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32854-7367
Country	:	US
Telephone Number	:	407-299-5508
Fax Number	:

Provider Business Practice Location Address
First Line	:	2921 N ORANGE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-4627
Country	:	US
Telephone Number	:	407-299-5508
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PRESIDENT
Name	:	WILLIAM P BARNARD
Credential	:	MD
Telephone Number	:	407-299-5508

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	08/22/2020

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