URGENT CARE CENTERS OF BREVARD COUNTY LLC NPI 1881226785

NPI Information

NPI: 1881226785
Provider Name: URGENT CARE CENTERS OF BREVARD COUNTY LLC

Doing Business As: HEALTH FIRST ADVENTHEALTH CENTRA CARE - GATEWAY

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

Specialization: Urgent Care

Address:
1223 GATEWAY DR STE 1E
MELBOURNE, FL
ZIP 32901
Phone: (407) 200-2300
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URGENT CARE CENTERS OF BREVARD COUNTY LLC is an urgent care clinic center in Melbourne, FL. URGENT CARE CENTERS OF BREVARD COUNTY LLC NPI is 1881226785. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health First Adventhealth Centra Care - Gateway.

The provider's business location address is:

1223 GATEWAY DR STE 1E
MELBOURNE, FL
ZIP 32901-607
Phone: (407) 200-2300

The provider's authorized official is Scott C Brady .
The authorized official title is President and has the following contact phone number (407) 200-2300.

The enumeration date for this NPI number is 2/8/2020 and was last updated on 4/18/2023.

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	Primary
1	207Q00000X	Family Medicine		No
2	208000000X	Pediatrics		No
3	363A00000X	Physician Assistant		No
4	363LF0000X	Nurse Practitioner	Family	No
5	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	5H01S	OTHER	FLORIDA	BCBS
2	105815702	MEDICAID	FLORIDA
3	MQ224	OTHER	FLORIDA	MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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