AMELIA URGENT CARE LLC (NPI# 1720417884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720417884 |
| Entity Type | Organization |
| Organization Name | AMELIA URGENT CARE LLC |
| Practice Address |
96279 Brady Point Rd Fernandina Beach FL 32034-7076 |
| Mailing Address |
510 Airport Center Dr Jacksonville FL 32218-7260 |
| Practice Telephone | 9043211177 |
| Practice Fax Number | 9043210016 |
| Mailing Telephone | 9046960055 |
| Mailing Fax Number | 9045516533 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | DR. DANIEL MATRICIA (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 9045833016 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
OS6933 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841366812 | Amelia Urgent Care LLC | Clinic/Center | 96279 Brady Point Road, Suite A, Fernandina Beach, FL 32034 | 2006-11-28 |
| 1982844163 | Amelia Urgent Care LLC | Clinic/Center | 510 Airport Center Dr, Suite 109, Jacksonville, FL 32218-7257 | 2009-02-27 |
| Street Address |
96279 BRADY POINT RD |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589612 | Robert J Munoz | Physician Assistant | 96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 | 2005-12-15 |
| 1720623275 | Amaya Johnson Mccarthy | Registered Nurse | 96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 | 2019-11-07 |
| 1225385453 | Amy Brooke Mendonsa | Physician Assistant | 96279 Brady Point Rd, Fernandina Beach, FL 32034 | 2012-08-07 |
| 1649558750 | Deanna Elaine Ingram | Nurse Practitioner | 96279 Brady Point Rd, Fernandina Beach, FL 32034 | 2011-07-25 |
| 1447203948 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 96279 Brady Point Rd, Suite B, Fernandina Beach, FL 32034-7076 | 2006-05-18 |
| 1295795896 | Randall B Fulford | Physician Assistant | 96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 | 2006-03-27 |
| 1912972530 | Daniel James Matricia | Family Medicine | 96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588788434 | J. Wayne Delucia D.d.s., P.a. | Clinic/Center | 14185 Beach Blvd Ste 2, Jacksonville, FL 32250-1574 | 2007-03-18 |
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
Please comment or provide details below to improve the information on AMELIA URGENT CARE LLC.
| 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.