PREMIER URGENT CARE OF BREVARD LLC (NPI# 1396820742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396820742 |
| Entity Type | Organization |
| Organization Name | PREMIER URGENT CARE OF BREVARD LLC |
| Other Organization Name | PREMIER URGENT CARE AT SUNTREE/PREMIER URGENT CARE AT VIERA |
| Practice Address |
6300 N Wickham Rd Suite 108 Melbourne FL 32940-2028 |
| Practice Telephone | 3212532169 |
| Practice Fax Number | 3212531720 |
| Mailing Telephone | 3212532169 |
| Mailing Fax Number | 3212531720 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | DR. STEPHEN K BADOLATO (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3212532169 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Urgent Care at Suntree/Premier Urgent Care at Viera | Doing Business As Name - Organization |
| Street Address |
6300 N WICKHAM RD SUITE 108 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728121 | David W Badolato | Family Medicine | 6300 N Wickham Rd, Ste 101, Melbourne, FL 32940-2028 | 2005-05-23 |
| 1366083172 | Elizabeth Evans Jenks | Specialist/Technologist, Other | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2019-10-02 |
| 1376080846 | Lisa Frier Cobbs | Nurse Practitioner | 6300 N Wickham Rd, Ste. 132, Melbourne, FL 32940-2028 | 2017-01-23 |
| 1073059705 | Physical Rehab and Medical Associates Inc | Physical Therapist | 6300 N Wickham Rd, #116, Melbourne, FL 32940-2028 | 2017-01-19 |
| 1972959781 | Top Tier Sports Medicine LLC | Clinic/Center | 6300 N Wickham Rd, Suite 133b, Melbourne, FL 32940-2028 | 2016-05-11 |
| 1306180997 | Lordoni Discount Pharmacy Inc | Pharmacy | 6300 N Wickham Rd, Suite 126, Melbourne, FL 32940-2028 | 2012-11-20 |
| 1609151752 | Dax Vasiliou | Optometrist | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2011-10-19 |
| 1699050393 | Olugbenga Oni | Pharmacist | 6300 N Wickham Rd, Suite 126, Melbourne, FL 32940-2028 | 2011-10-14 |
| 1669786414 | Deliece Legrande White | Acupuncturist | 6300 N Wickham Rd, Suite 116, Melbourne, FL 32940-2028 | 2010-08-04 |
| 1619295482 | Donna Borresen | Acupuncturist | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2010-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
| 1265765531 | Dairy Road Urgent Care LLC | Clinic/Center | 2107 Dairy Rd, Melbourne, FL 32904-5209 | 2009-09-17 |
| 1285735605 | Medfast Urgent Care Centers LLC | Clinic/Center | 7925 N Wickham Rd, Melbourne, FL 32940-8211 | 2006-09-26 |
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|---|---|---|---|---|
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| 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 |
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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.