AMELIA URGENT CARE LLC NPI 1841366812

NPI Information

NPI: 1841366812
Provider Name: AMELIA URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D1060855

Address:
96279 BRADY POINT ROAD
SUITE A
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 321-0088
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AMELIA URGENT CARE LLC is an urgent care clinic center in Fernandina Beach, FL. AMELIA URGENT CARE LLC NPI is 1841366812. The provider is registered as an organization entity type.

The provider's business location address is:

96279 BRADY POINT ROAD
SUITE A
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 321-0088
Fax: (904) 321-0016

The provider's authorized official is Daniel James Matricia .
The authorized official title is Medical Director and has the following contact phone number (904) 321-0088.

The CLIA number assigned to this NPI record is 10D1060855 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 12/22/2008.

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	=========	FLORIDA	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	08BBQSZ	MEDICARE OSCAR/CERTIFICATION	GEORGIA
2	C32365	MEDICARE UPIN	GEORGIA

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

NPI Synchronization or Removal

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