MEDFAST URGENT CARE CENTER, LLC (NPI# 1164064200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164064200 |
Entity Type | Organization |
Organization Name | MEDFAST URGENT CARE CENTER, LLC |
Practice Address |
1000 S Ridgewood Ave Edgewater FL 32132-2333 |
Mailing Address |
390 N Courtenay Pkwy Merritt Island FL 32953-3456 |
Practice Telephone | 3862208222 |
Practice Fax Number | 3862208233 |
Mailing Telephone | 3216333162 |
Enumeration Date | 2019-10-10 |
Last Update Date | 2020-06-17 |
Authorized Official Name | MARILYN STEVENS (BILLING DIRECTOR) |
Authorized Official Telephone | 3218214950 |
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 |
---|---|---|---|---|
1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
1457823080 | Medfast Urgent Care Center, LLC | Clinic/Center | 2113 Sarno Rd, Melbourne, FL 32935-3001 | 2018-12-20 |
1972809275 | Medfast Urgent Care Center, LLC | Clinic/Center | 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | 2011-02-03 |
Street Address |
1000 S RIDGEWOOD AVE |
City | EDGEWATER |
State | FL |
Zip Code | 32132-2333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124389663 | Jeannine Parisi | Technician | 1610 Royal Palm Dr, Edgewater, FL 32132 | 2012-05-31 |
1992071575 | Mary E. Curtiss | Dietitian, Registered | 104 W. Knapp Ave, Edgewater, FL 32132 | 2012-03-28 |
1285923284 | Bhi of Central Florida Corporation | Non-emergency Medical Transport (VAN) | 1869 India Palm Dr, Edgewater, FL 32132 | 2011-03-31 |
1649440728 | Advanced Care Agency Inc. | Nurse's Aide | 212 Shangri La Circle, Edgewater, FL 32132 | 2008-03-05 |
1962544031 | Mary Daine Swindle | Nurse's Aide | 212 Shangri La Cr, Edgewater, FL 32132 | 2007-02-13 |
1003957465 | Alan Leonard Horowitz | Chiropractor | 612 N Ridgewood Ave, Suite I, Edgewater, FL 32132 | 2007-02-09 |
1255415550 | Professional Physical Therapy and Associates Ltd Co | Physical Therapist | 1316 S. Ridgewood Avenue, Suite 1, Edgewater, FL 32132 | 2006-10-24 |
1205919362 | David Storm Chess | Chiropractor | 930 S Ridgewood Ave, Edgewater, FL 32132 | 2006-10-23 |
1235231242 | Roger Prieto | Dentist | 1401 S Ridgewood Ave, Edgewater, FL 32132 | 2006-09-01 |
1497861306 | Crystal R Mead | Physician Assistant | 109 W Knapp Avenue, Edgewater, FL 32132 | 2006-08-22 |
Find all providers in zip 32132 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174804918 | Urgent Care Medicine, LLC | Clinic/Center | 3059 Solomons Island Rd, Suite F-2, Edgewater, MD 21037-1433 | 2011-09-07 |
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.