XPRESS URGENT CARE LLC. NPI 1841566395

NPI Information

NPI: 1841566395
Provider Name: XPRESS URGENT CARE, LLC.
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2181424

Address:
672 SW PRIMA VISTA BLVD
SUITE 102
PORT ST LUCIE, FL
ZIP 34983
Phone: (561) 932-0995
Get Directions

XPRESS URGENT CARE, LLC. is an urgent care clinic center in Port St Lucie, FL. XPRESS URGENT CARE, LLC. NPI is 1841566395. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

672 SW PRIMA VISTA BLVD
SUITE 102
PORT ST LUCIE, FL
ZIP 34983-835
Phone: (561) 932-0995
Fax: (561) 932-0997

The provider's authorized official is Mazin Shikara .
The authorized official title is President and has the following contact phone number (561) 779-1652.

The CLIA number assigned to this NPI record is 10D2181424 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 8/2/2023.

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	208D00000X	General Practice				No
2	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	008195600	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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