Provider Demographics
NPI:1407009145
Name:I CARE CLINIC LLC
Entity Type:Organization
Organization Name:I CARE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUNAID
Authorized Official - Middle Name:A
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-953-9296
Mailing Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 227
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8008
Mailing Address - Country:US
Mailing Address - Phone:407-426-4099
Mailing Address - Fax:407-809-5243
Practice Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 227
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8008
Practice Address - Country:US
Practice Address - Phone:407-426-4099
Practice Address - Fax:407-809-5243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95960261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC1347AOtherMEDICARE
FL001295200Medicaid