Medfast Urgent Care Center, LLC
Clinic/Center, Urgent Care in Edgewater, FL. Organization (NPI-2).
NPI number1164064200
StatusActive
Last updated in NPPESJun 17, 2020
Details
- NPI
- 1164064200
- Entity type
- Organization (NPI-2)
- Legal business name
- Medfast Urgent Care Center, LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2019
- Certification date
- Jun 17, 2020
- Last updated
- Jun 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
1000 S Ridgewood AveEdgewater, FL 32132-2333
Phone 386-220-8222 · Fax 386-220-8233
Mailing address
390 N Courtenay PkwyMerritt Island, FL 32953-3456
Phone 321-633-3162
Authorized official
Marilyn Stevens
Billing Director
3218214950
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