TROPICAL MED SPA, LLC (TROPICAL URGENT CARE) - NPI NUMBER 1003157264

Summary

Provider Name: TROPICAL MED SPA, LLC (TROPICAL URGENT CARE)

NPI Number: 1003157264

Clasification: Clinic/Center (261QU0200X)

Specialization: Urgent Care

Address:
2037 E IRLO BRONSON MEMORIAL HWY
KISSIMMEE, FL
ZIP 34744

Phone Number: (407) 749-8877



Detailed Information

TROPICAL MED SPA, LLC is an urgent care clinic/center in Kissimmee, FL. The assigned NPI number for this provider is 1003157264 and is registered as an organization entity type.
The provider Is Doing Business As Tropical Urgent Care.

The provider's business address is:

2037 E IRLO BRONSON MEMORIAL HWY
KISSIMMEE, FL
ZIP 34744-416
Phone: (407) 749-8877

The provider's authorized official is Hanson Nguyen .
The authorized official title is Manager and has the following contact phone number (407) 499-4911.

The enumeration date for this NPI number is 3/12/2013 and was last updated on 3/11/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QU0200X Clinic/Center Urgent Care ME95889 FL No
2 261QP2300X Clinic/Center Primary Care ME95889 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 6881140001 OTHER MEDICARE DME

NPI Record

No. Field Name Field Value
1 NPI 1003157264
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name TROPICAL MED SPA, LLC
5 Provider Other Organization Name TROPICAL URGENT CARE
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 2037 E IRLO BRONSON MEMORIAL HWY
8 Provider Business Practice Location Address City Name KISSIMMEE
9 Provider Business Practice Location Address State Name FL
10 Provider Business Practice Location Address Postal Code 347444416
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4077498877
13 Provider Enumeration Date 3/12/2013
14 Last Update Date 3/11/2014
15 Authorized Official Last Name NGUYEN
16 Authorized Official First Name HANSON
17 Authorized Official Title or Position MANAGER
18 Authorized Official Telephone Number 4074994911
19 Healthcare Provider Taxonomy Code 1 261QU0200X
20 Provider License Number 1 ME95889
21 Provider License Number State Code 1 FL
22 Healthcare Provider Primary Taxonomy Switch 1 N
23 Healthcare Provider Taxonomy Code 2 261QP2300X
24 Provider License Number 2 ME95889
25 Provider License Number State Code 2 FL
26 Healthcare Provider Primary Taxonomy Switch 2 Y
27 Other Provider Identifier 1 6881140001
28 Other Provider Identifier Type Code 1 01
29 Other Provider Identifier Issuer 1 MEDICARE DME
30 Is Organization Subpart N
31 Authorized Official Name Prefix Text DR.
32 Authorized Official Credential Text M.D.

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.