MEDFAST URGENT CARE CENTERS LLC NPI 1174262232

NPI Information

NPI: 1174262232
Provider Name: MEDFAST URGENT CARE CENTERS, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2263914

Address:
1400 DUNLAWTON AVE UNIT 1-A
PORT ORANGE, FL
ZIP 32127
Phone: (321) 633-3278
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MEDFAST URGENT CARE CENTERS, LLC is an urgent care clinic center in Port Orange, FL. MEDFAST URGENT CARE CENTERS, LLC NPI is 1174262232. The provider is registered as an organization entity type.

The provider's business location address is:

1400 DUNLAWTON AVE UNIT 1-A
PORT ORANGE, FL
ZIP 32127-952
Phone: (321) 633-3278

The provider's authorized official is David Williams .
The authorized official title is Cmo and has the following contact phone number (321) 633-3162.

The CLIA number assigned to this NPI record is 10D2263914 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2022 and was last updated on 5/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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