ST TIMOTHY URGENT CARE NPI 1275358855

NPI Information

  • NPI: 1275358855
  • Provider Name: ST TIMOTHY URGENT CARE
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Organization
  • CLIA Number: 10D2319261
  • Address: 16244 REDSTONE WAY
    ODESSA, FL
    ZIP 33556
  • Phone: (352) 835-7111

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NPI Details

ST TIMOTHY URGENT CARE is a pediatric emergency medicine pediatrics in Odessa, FL. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. ST TIMOTHY URGENT CARE NPI is 1275358855. The provider is registered as an organization entity type.

The provider's business location address is:

16244 REDSTONE WAY
ODESSA, FL
ZIP 33556-668
Phone: (352) 835-7111
Fax: (727) 223-4159

The provider's authorized official is Eid Guirguis .
The authorized official title is Owner and has the following contact phone number (352) 835-7111.

The CLIA number assigned to this NPI record is 10D2319261 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2024 and was last updated on 10/16/2025.

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
1261QU0200XClinic/CenterUrgent CareNo
22080P0204XPediatricsPediatric Emergency MedicineYes

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: 11/21/2025

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