FAST TRACK URGENT CARE LLC NPI 1568087526

NPI Information

NPI: 1568087526
Provider Name: FAST TRACK URGENT CARE LLC

Doing Business As: FAST TRACK URGENT CARE

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

Specialization: Urgent Care

Address:
2400 NORTH BLVD W STE 1
DAVENPORT, FL
ZIP 33837
Phone: (402) 720-4343
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FAST TRACK URGENT CARE LLC is an urgent care clinic center in Davenport, FL. FAST TRACK URGENT CARE LLC NPI is 1568087526. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fast Track Urgent Care.

The provider's business location address is:

2400 NORTH BLVD W STE 1
DAVENPORT, FL
ZIP 33837-980
Phone: (402) 720-4343
Fax: (863) 419-0025

The provider's authorized official is Naeem Z Ahmed .
The authorized official title is Chief Medical Officer and has the following contact phone number (402) 720-4343.

The enumeration date for this NPI number is 6/15/2020 and was last updated on 7/2/2020.

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	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	No
2	2084N0400X	Psychiatry & Neurology	Neurology	No
3	261QU0200X	Clinic/Center	Urgent Care	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100924200	MEDICAID	FLORIDA

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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