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FLORIDA CARE MEDICAL CENTER INC
NPI 1902753130
General Practice in Saint Cloud, FL

Active since March 16, 2026CLIA 10D2342978 · Waiver
4691 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769(407) 842-8283(407) 603-8285 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Florida Care Medical Center Inc NPPES

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

FLORIDA CARE MEDICAL CENTER INC (NPI 1902753130) is a healthcare organization registered as a general practice in Saint Cloud, Florida and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Pedro Enrique Lastres Hernandez, Owner, as its authorized official.

NPPES Registry Identity

NPI1902753130
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFLORIDA CARE MEDICAL CENTER INC
Location Address4691 OLD CANOE CREEK RDSaint Cloud, FL 34769-1550
Mailing Address7200 Curry Ford RdOrlando, FL 32822-5806 · (407) 842-8283 · Fax (407) 603-8285
Phone(407) 842-8283
Fax(407) 603-8285
Organization SubpartNo
Authorized OfficialPedro Enrique Lastres HernandezOwner · (407) 842-8283
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1902753130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4691 OLD CANOE CREEK RD, Saint Cloud, FL 34769
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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 10D2342978

Florida Care Medical Center, Inc · Saint Cloud, FL
Active · expires Apr 28, 2028
CLIA Number10D2342978
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorKeyshla Rivera Baez
Laboratory Phone(407) 588-1686
Laboratory LocationFlorida Care Medical Center, Inc4691 Old Canoe Creek Road, Saint Cloud, FL 34769
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. AGUSTIN VEGA SANTIAGO M.D.
Internal Medicine
4691 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 498-4015
AVS MEDICAL LLC
Internal Medicine
4691 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 498-4015

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 Florida Care Medical Center Inc's NPI number?

The NPI number for Florida Care Medical Center Inc is 1902753130. It was assigned to this organization in the NPPES registry on March 16, 2026.

Where is Florida Care Medical Center Inc located?

Florida Care Medical Center Inc is located at 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769. The listed phone number is (407) 842-8283.

What is Florida Care Medical Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Florida Care Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2342978) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Care Medical Center Inc was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.