MEDFAST URGENT CARE CENTERS, LLC (NPI# 1235617432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235617432 |
Entity Type | Organization |
Organization Name | MEDFAST URGENT CARE CENTERS, LLC |
Practice Address |
390 N. Courtenay Pkwy Merritt Island FL 32953 |
Mailing Address |
7925 N. Wickham Rd Suite A Melbourne FL 32940 |
Practice Telephone | 3216333162 |
Practice Fax Number | 3218214955 |
Mailing Telephone | 3217517222 |
Mailing Fax Number | 3218214955 |
Enumeration Date | 2018-07-31 |
Last Update Date | 2020-06-17 |
Authorized Official Name | DAVID T WILLIAMS (CEO/CMO) |
Authorized Official Telephone | 3218907052 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861022659 | Medfast Urgent Care Centers, LLC | Clinic/Center | 1532 N Harbor City Blvd, Melbourne, FL 32935-6533 | 2020-01-21 |
1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
1740606276 | Medfast Urgent Care Centers, LLC | Clinic/Center | 3045 Columbia Blvd Ste A108, Titusville, FL 32780-7864 | 2014-03-07 |
1366710170 | Medfast Urgent Care Centers, LLC | Clinic/Center | 490 Centre Lake Dr Ne, Palm Bay, FL 32907-1113 | 2011-12-07 |
1730405820 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5005 Port St John Pkwy, Port St John, FL 32927-4305 | 2010-04-14 |
Street Address |
390 N. COURTENAY PKWY |
City | MERRITT ISLAND |
State | FL |
Zip Code | 32953 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
1568594398 | Priscila Rosal Siaga Jenkins | Registered Nurse | 2575 N Coutenay Pkwy, Merritt Island, FL 32953 | 2007-03-09 |
Find all providers in zip 32953 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588744 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 3708 Sw College Rd, Ocala, FL 34474-4441 | 2020-11-05 |
1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
Find all providers with the same taxonomy |
City | MERRITT ISLAND |
Zip Code | 32953 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.