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MEDIQUICK URGENT CARE CENTERS INC NPI 1053363036


NPI Information

NPI: 1053363036
Provider Name: MEDIQUICK URGENT CARE CENTERS INC

Doing Business As: MEDIQUICK WALK IN CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D0963091

Address:
6 OFFICE PARK DR
PALM COAST, FL
ZIP 32137
Phone: (386) 447-6615
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MEDIQUICK URGENT CARE CENTERS INC is an urgent care clinic center in Palm Coast, FL. MEDIQUICK URGENT CARE CENTERS INC NPI is 1053363036. The provider is registered as an organization entity type.
The provider Is Doing Business As Mediquick Walk In Clinic.

The provider's business location address is:

6 OFFICE PARK DR
PALM COAST, FL
ZIP 32137-808
Phone: (386) 447-6615
Fax: (386) 447-1266

The provider's authorized official is Ann Shaw .
The authorized official title is Office Manager and has the following contact phone number (386) 447-6615.

The CLIA number assigned to this NPI record is 10D0963091 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 6/27/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent Care800014401FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K1000MEDICARE PINFLORIDA

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: 11/14/2023

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