MEDFAST URGENT CARE CENTERS, LLC (NPI# 1730405820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730405820 |
| Entity Type | Organization |
| Organization Name | MEDFAST URGENT CARE CENTERS, LLC |
| Practice Address |
5005 Port St John Pkwy Port St John FL 32927-4305 |
| Mailing Address |
7925 N Wickham Rd Melbourne FL 32940-8211 |
| Practice Telephone | 3217517222 |
| Practice Fax Number | 3217516655 |
| Mailing Telephone | 3217517222 |
| Mailing Fax Number | 3217516655 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | DAVID T WILLIAMS (MANAGING MEMBER) |
| Authorized Official Telephone | 3218907052 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDFAST URGENT CARE CENTERS, LLC |
| 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 |
| 1366710170 | Medfast Urgent Care Centers, LLC | Clinic/Center | 490 Centre Lake Dr Ne, Palm Bay, FL 32907-1113 | 2011-12-07 |
| Street Address |
5005 PORT ST JOHN PKWY |
| City | PORT ST JOHN |
| State | FL |
| Zip Code | 32927-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215172499 | Arlene H Radcliff | Nurse Practitioner | 5005 Port St John Pkwy, Suite 2600, Port St John, FL 32927-4305 | 2008-12-02 |
| 1851568844 | Lena Weinman-greenberg | Obstetrics & Gynecology | 5005 Port St John Pkwy, Suite 2300, Port St John, FL 32927-4305 | 2008-05-09 |
| 1164698932 | Benjamin Reed Nettleton | Family Medicine | 5005 Port St John Pkwy, Suite 2500, Port St John, FL 32927-4305 | 2008-05-01 |
| 1629194923 | Florida East Coast Imaging LLC | Radiology | 5005 Port St John Pkwy, Port St John, FL 32927-4305 | 2007-03-21 |
| 1801964788 | Daniela E Rusovici | Psychiatry & Neurology | 5005 Port St John Pkwy, Suite 2200, Port St John, FL 32927-4305 | 2006-12-01 |
| 1497858724 | Wendy L Worsley | Family Medicine | 5005 Port St John Pkwy, Ste 2500, Port St John, FL 32927-4305 | 2006-09-05 |
| 1376510909 | Julie Lynn Flick | Family Medicine | 5005 Port St John Pkwy, Suite 2500, Port St John, FL 32927-4305 | 2006-03-02 |
| 1528052065 | Eugene H Go | Internal Medicine | 5005 Port St John Pkwy, Suite 2600, Port St John, FL 32927-4305 | 2005-09-09 |
| 1245224518 | Shivani Mitra | Pediatrics | 5005 Port St John Pkwy, 2500, Port St John, FL 32927-4305 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565023 | Susan Guattery Coleman | Dietitian, Registered | 7075 Us Highway 1, Diabetes Education Suite 300, Port Saint John, FL 32927 | 2014-11-10 |
| 1245668086 | Betty Lopez Munarriz | Contractor | 5660 Fay Blvd, Cocoa, FL 32927 | 2013-10-14 |
| 1427499599 | Gary Ray Rudolph | Pharmacist | 7125 Us 1, Cocoa, FL 32927 | 2013-07-17 |
| 1659716165 | Tania Melissa Johnson | Social Worker | 5355 Date Palm St, Cocoa, FL 32927 | 2013-05-10 |
| 1538473137 | Irwin Jaraplasan | Dentist | 5235 Fay Blvd, Cocoa, FL 32927 | 2010-08-06 |
| 1386856110 | Tri M Le | Pharmacist | 6257 U.S. Hwy 1, Cocoa, FL 32927 | 2007-05-04 |
| 1134218357 | Rameshwar N Mathur Md Pa | Family Medicine | 6250 N Us 1, Cocoa, FL 32927 | 2006-10-12 |
| 1922035088 | Albino Y Kuon | Psychiatry & Neurology | 4360 North Us1, Cocoa, FL 32927 | 2006-06-26 |
| 1801855424 | Faye Ellen O'rourke | Nurse Practitioner | 7227 N. Us Hwy. 1, Port St. John, FL 32927 | 2006-03-22 |
| 1063965275 | Tiffany Williams-brown | Nurse Practitioner | 860 Camp Rd, Cocoa, FL 32927 | 2016-07-25 |
| Find all providers in zip 32927 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| 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 | ||||
| City | PORT ST JOHN |
| Zip Code | 32927 |
Please comment or provide details below to improve the information on MEDFAST URGENT CARE CENTERS, 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.