MEDI-FAST URGENT CARE LLC NPI 1851676472

NPI Information

NPI: 1851676472
Provider Name: MEDI-FAST URGENT CARE, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
672 SW PRIMA VISTA BLVD
SUITE 102
PORT ST LUCIE, FL
ZIP 34983
Phone: (561) 932-0995
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MEDI-FAST URGENT CARE, LLC is an urgent care clinic center in Port St Lucie, FL. MEDI-FAST URGENT CARE, LLC NPI is 1851676472. The provider is registered as an organization entity type.

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

The enumeration date for this NPI number is 10/14/2011 and was last updated on 7/23/2021.

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			Yes

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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