Thse - Marco Urgent Care LLC
Internal Medicine in Marco Island, FL. Organization (NPI-2).
NPI number1801125331
StatusActive
Last updated in NPPESSep 29, 2020
Details
- NPI
- 1801125331
- Entity type
- Organization (NPI-2)
- Legal business name
- Thse - Marco Urgent Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2009
- Certification date
- Sep 29, 2020
- Last updated
- Sep 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
40 S Heathwood DrMarco Island, FL 34145-5026
Phone 239-394-8234
Mailing address
1643 Nw 136th Ave Ste 100Sunrise, FL 33323-2857
Phone 800-424-3672 · Fax 954-377-3042
Authorized official
Michael D Corvini
President
8004243672
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