URGENT CARE CENTER OF PORT ORANGE LLC NPI 1891905378

NPI Information

NPI: 1891905378
Provider Name: URGENT CARE CENTER OF PORT ORANGE, LLC

Doing Business As: PORT ORANGE URGENT CARE, LLC

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

Specialization: Urgent Care

Address:
1690 DUNLAWTON AVE
SUITE 120
PORT ORANGE, FL
ZIP 32127
Phone: (386) 271-2273
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URGENT CARE CENTER OF PORT ORANGE, LLC is an urgent care clinic center in Port Orange, FL. URGENT CARE CENTER OF PORT ORANGE, LLC NPI is 1891905378. The provider is registered as an organization entity type.
The provider Is Doing Business As Port Orange Urgent Care, Llc.

The provider's business location address is:

1690 DUNLAWTON AVE
SUITE 120
PORT ORANGE, FL
ZIP 32127-980
Phone: (386) 271-2273
Fax: (386) 271-2274

The provider's authorized official is Ammar Hemaidan .
The authorized official title is Ceo/medical Director and has the following contact phone number (386) 271-2273.

The CLIA number assigned to this NPI record is 10D1042134 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 3/21/2013.

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	ME73758	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	41597Z	MEDICARE UPIN	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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