MEDFAST URGENT CARE CENTER, LLC (NPI# 1457823080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457823080 |
| Entity Type | Organization |
| Organization Name | MEDFAST URGENT CARE CENTER, LLC |
| Practice Address |
2113 Sarno Rd Melbourne FL 32935-3001 |
| Mailing Address |
7925 N Wickham Rd Ste A Melbourne FL 32940-8211 |
| Practice Telephone | 3214190797 |
| Mailing Telephone | 3217517222 |
| Mailing Fax Number | 3217516655 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | MIKE BELANGER (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 3218214950 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDFAST URGENT CARE CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164064200 | Medfast Urgent Care Center, LLC | Clinic/Center | 1000 S Ridgewood Ave, Edgewater, FL 32132-2333 | 2019-10-10 |
| 1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
| 1972809275 | Medfast Urgent Care Center, LLC | Clinic/Center | 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | 2011-02-03 |
| Street Address |
2113 SARNO RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003839325 | Clark F. Brown, Jr. Dds, Pa | Clinic/Center | 2113 Sarno Rd, Melbourne, FL 32935-3001 | 2006-07-26 |
| 1467835074 | William Shane Vaughn | Dentist | 2113 Sarno Rd, Melbourne, FL 32935 | 2015-06-30 |
| 1922334705 | Sarno Imaging Center | Clinic/Center | 2113 Sarno Rd, Melbourne, FL 32935-3001 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907828 | Total Spine & Wellness | Clinic/Center | 1747 Evans Rd Ste 103, Melbourne, FL 32904-3869 | 2020-09-16 |
| 1477177004 | Space Coast Advanced Practice Consultants LLC | Clinic/Center | 115 Hickory St Ste 204, Melbourne, FL 32904-3505 | 2020-05-29 |
| 1558502492 | Atlantic Cardionet | Clinic/Center | 1305 S Hickory St, Melbourne, FL 32901-3223 | 2009-03-23 |
| 1164525481 | Atlantic Cardiolink | Clinic/Center | 1305 Hickory St, Melbourne, FL 32901-3223 | 2006-09-06 |
| 1265455133 | Unconditional Love Inc. | Clinic/Center | 1495 N. Harbor City Blvd., Suite F, Melbourne, FL 32935-6572 | 2006-07-25 |
| 1780617738 | Palm Bay Anesthesia, Inc | Clinic/Center | 1051 Hickory St, Melbourne, FL 32901-1962 | 2006-07-09 |
| 1639178510 | Melbourne Urgent Care, LLC | Clinic/Center | 187 S Wickham Rd, Suite 101, Melbourne, FL 32904-1123 | 2005-07-21 |
| 1295290708 | Harbor City Hearing Solutions | Clinic/Center | 7155 Murrell Rd Ste 101, Melbourne, FL 32940-8258 | 2019-02-08 |
| 1619445087 | Children's Home Society of Florida | Clinic/Center | 326 Croton Rd, Melbourne, FL 32935-6340 | 2018-11-05 |
| 1902318108 | Audiology Services Company Usa, LLC | Clinic/Center | 1106 W New Haven Ave, Melbourne, FL 32904-4056 | 2017-10-27 |
| Find all providers in MELBOURNE | ||||
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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.