Express Care of Lake County LLC
NPI 1215338025ActiveOrganization· Family Medicine· Tavares, FL
Family Medicine in Tavares, Florida, registered in NPPES in September 2014. The authorized official on file is Kimberly T. Jackson, DO, Medical Director.
Overview
| NPI | 1215338025 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2014 |
| Last updated in NPPES | Nov 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS11411 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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