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OMNICARE MEDICAL CENTER INC
NPI 1073874145
Clinic/Center - Medical Specialty in Orlando, FL

Active since June 05, 2012
1805 W COLONIAL DR, SUITE A, ORLANDO, FL 32804(407) 578-9142(407) 578-8616 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omnicare Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNICARE MEDICAL CENTER INC (NPI 1073874145) is a healthcare organization registered as a medical specialty in Orlando, Florida and active in the NPI registry since June 2012. The organization lists Owen D Fraser, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1073874145
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOMNICARE MEDICAL CENTER INC
Location Address1805 W COLONIAL DR, SUITE AOrlando, FL 32804-7013
Mailing Address1805 W Colonial Dr, Suite AOrlando, FL 32804-7013 · (407) 578-9142 · Fax (407) 578-8616
Phone(407) 578-9142
Fax(407) 578-8616
Organization SubpartNo
Authorized OfficialOwen D FraserPhysician/owner · (407) 578-9142
Enumeration DateJune 5, 2012
Last NPPES UpdateOctober 24, 2012
✔ NPI 1073874145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · ME30256
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1805 W COLONIAL DR, Orlando, FL 32804
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Other Identifiers 2

Medicare UPIND55507FL
Medicaid58757500FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LA MAJESTY HEALTH CARE LLC2
Internal Medicine
1805 W COLONIAL DR
ORLANDO, FL 32804
Orange County (407) 350-4840
EMROSE CARE SERVICES, LLC
In Home Supportive Care
1805 W COLONIAL DR
ORLANDO, FL 32804
Orange County (321) 695-2783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omnicare Medical Center Inc's NPI number?

The NPI number for Omnicare Medical Center Inc is 1073874145. It was assigned to this organization in the NPPES registry on June 5, 2012.

Where is Omnicare Medical Center Inc located?

Omnicare Medical Center Inc is located at 1805 W Colonial Dr Suite A, Orlando, FL 32804. The listed phone number is (407) 578-9142.

What is Omnicare Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Omnicare Medical Center Inc was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.