MEDFAST URGENT CARE CENTERS, LLC (NPI# 1366710170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366710170 |
| Entity Type | Organization |
| Organization Name | MEDFAST URGENT CARE CENTERS, LLC |
| Practice Address |
490 Centre Lake Dr Ne Palm Bay FL 32907-1113 |
| Practice Telephone | 3217517222 |
| Mailing Telephone | 3217517222 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | DR. DAVID THOMAS WILLIAMS (MEDICAL DIRECTOR) |
| 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 |
OS6588 | FL | 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 |
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1740606276 | Medfast Urgent Care Centers, LLC | Clinic/Center | 3045 Columbia Blvd Ste A108, Titusville, FL 32780-7864 | 2014-03-07 |
| 1730405820 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5005 Port St John Pkwy, Port St John, FL 32927-4305 | 2010-04-14 |
| Street Address |
490 CENTRE LAKE DR NE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484034 | David Williams | Emergency Medicine | 490 Centre Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 | 2005-06-01 |
| 1750903902 | John J Roberts | Hearing Instrument Specialist | 490 Centre Lake Dr Ne, Suite 150, Palm Bay, FL 32907 | 2020-05-11 |
| 1023252368 | Shannon Patricia Green | Counselor | 490 Centre Lake Dr Ne, Suite 150, Palm Bay, FL 32907-1113 | 2009-04-30 |
| 1073639456 | Nomara Jeanne Buck | Physical Therapy Assistant | 490 Centre Lake Dr Ne, Suite 100, Palm Bay, FL 32907-1189 | 2007-03-21 |
| 1447341821 | Shawn Wilson | Physical Therapy Assistant | 490 Centre Lake Dr Ne, Palm Bay, FL 32907-1189 | 2006-09-28 |
| 1316915184 | Renew Therapy Center of Palm Bay, LLC | Clinic/Center | 490 Centre Lake Dr Ne, Suite 100, Palm Bay, FL 32907-1189 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609240779 | Restore Health Management LLC | Clinic/Center | 1840 Eldron Blvd Se, Suite 1, Palm Bay, FL 32909-6871 | 2015-11-30 |
| 1679742787 | Medical Technology Transfer Corporation | Clinic/Center | 590 Malabar Rd Se, Suite 7, Palm Bay, FL 32907-3108 | 2008-02-22 |
| 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 | ||||
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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.