EXPRESS CARE OF LAKE COUNTY LLC
NPI 1215338025
Family Medicine in Tavares, FL

Active since September 11, 2014
2020 NIGHTINGALE LN, TAVARES, FL 32778(352) 742-1500(352) 742-2530 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine

About EXPRESS CARE OF LAKE COUNTY LLC

This page provides the complete NPI Profile along with additional information for Express Care Of Lake County Llc, a primary care provider established in Tavares, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1215338025 assigned on September 2014. The practitioner's primary taxonomy code is 207Q00000X with license number OS11411 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. Express Care Of Lake County Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kimberly T Jackson Do (Medical Director)

NPI
1215338025 Verify this NPI
Provider Name
EXPRESS CARE OF LAKE COUNTY LLC
Entity Type
Organization
Location Address
2020 NIGHTINGALE LN TAVARES, FL 32778
Location Phone
(352) 742-1500
Location Fax
(352) 742-2530
Mailing Address
2020 NIGHTINGALE LN TAVARES, FL 32778
Mailing Phone
(352) 742-1500
Mailing Fax
(352) 742-2530
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2014
Last Update Date
11-15-2016
Code Navigator

A primary care provider (PCP) like Express Care Of Lake County Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS11411
License State
FL
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY T JACKSON DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(352) 742-1500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GN361AMEDICARE PIN (08)FL 

Reviews for EXPRESS CARE OF LAKE COUNTY LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine
2020 NIGHTINGALE LN
TAVARES, FL 32778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215338025, enumerated as an "organization" on September 11, 2014.

The provider is located at 2020 NIGHTINGALE LN TAVARES, FL 32778 and the phone number is (352) 742-1500.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.