DAIRY ROAD URGENT CARE LLC (NPI# 1265765531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765531 |
| Entity Type | Organization |
| Organization Name | DAIRY ROAD URGENT CARE LLC |
| Practice Address |
2107 Dairy Rd Melbourne FL 32904-5209 |
| Mailing Address |
Po Box 120043 West Melbourne FL 32912-0043 |
| Practice Telephone | 3219568224 |
| Practice Fax Number | 3219568225 |
| Mailing Telephone | 3219568224 |
| Mailing Fax Number | 3219568225 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2016-04-23 |
| Authorized Official Name | DR. MIGUEL LYNN LORENTE (PRESIDENT) |
| Authorized Official Telephone | 3219568224 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
ME82880 | FL | Ambulatory Health Care Facilities |
| Street Address |
2107 DAIRY RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164448072 | Miguel Lynn Lorente | Legal Medicine | 2107 Dairy Rd, Melbourne, FL 32904-5209 | 2006-07-14 |
| 1740504455 | Physician Associates LLC | Internal Medicine | 2107 Dairy Rd, Melbourne, FL 32904-5209 | 2010-03-24 |
| 1285813147 | Premiere Medical Group Pa | General Acute Care Hospital | 2107 Dairy Rd, Melbourne, FL 32904-5209 | 2007-10-29 |
| 1922172485 | Tiffany Noel Carillet | Physician Assistant | 2107 Dairy Rd, Melbourne, FL 32904-5241 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| 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 |
| 1609231737 | Medfast Urgent Care Centers,llc | Clinic/Center | 206 E New Haven Ave, Melbourne, FL 32901-4504 | 2015-12-16 |
| 1881226785 | Urgent Care Centers of Brevard County LLC | Clinic/Center | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2020-02-08 |
| 1700418076 | Urgent Care Centers of Brevard County LLC | Clinic/Center | 1223 Gateway Dr Ste 2h, Melbourne, FL 32901-2607 | 2020-02-05 |
| 1851737449 | University Center Urgent Care, LLC | Clinic/Center | 1800 W Hibiscus Blvd, Suite 106, Melbourne, FL 32901-2629 | 2013-05-22 |
| 1215210273 | Urgent Doccs Inc | Clinic/Center | 2100 N Wickham Rd, Melbourne, FL 32935 | 2011-09-26 |
| 1396820742 | Premier Urgent Care of Brevard LLC | Clinic/Center | 6300 N Wickham Rd, Suite 108, Melbourne, FL 32940-2028 | 2006-10-26 |
| 1285735605 | Medfast Urgent Care Centers LLC | Clinic/Center | 7925 N Wickham Rd, Melbourne, FL 32940-8211 | 2006-09-26 |
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| 1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
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| 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 |
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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.