PALM COAST URGENT CARE NPI 1245712603

NPI Information

PALM COAST URGENT CARE is a general practice in Orlando, FL. The provider is 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 PALM COAST URGENT CARE NPI is 1245712603. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Palm Coast Urgent Care.

The provider's business location address is:

6388 SILVER STAR RD SUITE 1C
ORLANDO, FL
ZIP 32818
Phone: (407) 250-4354
Fax: (407) 250-4354

The provider's authorized official is Jean Rodney .
The authorized official title is President and has the following contact phone number (407) 250-4354.

The CLIA number assigned to this NPI record is 10D2160471 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2018 and was last updated on 9/2/2018.

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:

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