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EXPRESS CARE CLINIC GROUP
NPI 1083016414
Family Medicine in Longwood, FL

Active since September 17, 2014CLIA 10D2083592 · Waiver
2650 W STATE ROAD 434, LONGWOOD, FL 32779(407) 475-3366(407) 475-3367 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Express Care Clinic Group NPPES

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

EXPRESS CARE CLINIC GROUP (NPI 1083016414) is a healthcare organization registered as a family medicine in Longwood, Florida and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Oleksandr V Onushko, President, as its authorized official.

NPPES Registry Identity

NPI1083016414
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXPRESS CARE CLINIC GROUP
Location Address2650 W STATE ROAD 434Longwood, FL 32779-4815
Mailing Address2650 W State Road 434Longwood, FL 32779-4815 · (407) 475-3366 · Fax (407) 475-3367
Phone(407) 475-3366
Fax(407) 475-3367
Organization SubpartNo
Authorized OfficialOleksandr V OnushkoPresident · (407) 475-3366
Enumeration DateSeptember 17, 2014
Last NPPES UpdateNovember 12, 2014
✔ NPI 1083016414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
2650 W STATE ROAD 434, Longwood, FL 32779
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Other Names 1

Doing Business AsExpress Care Clinic Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2083592

Express Care Clinic · Longwood, FL
Active · expires Sep 8, 2026
CLIA Number10D2083592
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorOleksandr Onushko
Laboratory Phone(407) 475-3366
Laboratory LocationExpress Care Clinic2650 W Sr 434, Longwood, FL 32779
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EXPRESS CARE CLINIC LLC
Clinic/Center (Primary Care)
2650 W STATE ROAD 434
LONGWOOD, FL 32779
Seminole County (407) 475-3366

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 Express Care Clinic Group's NPI number?

The NPI number for Express Care Clinic Group is 1083016414. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Express Care Clinic Group located?

Express Care Clinic Group is located at 2650 W State Road 434, Longwood, FL 32779. The listed phone number is (407) 475-3366.

What is Express Care Clinic Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Express Care Clinic Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2083592) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Express Care Clinic Group was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.