441 URGENT CARE CENTER, LLC (NPI# 1770726838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770726838 |
Entity Type | Organization |
Organization Name | 441 URGENT CARE CENTER, LLC |
Practice Address |
17820 Se 109th Ave Ste 108 Summerfield FL 34491-8968 |
Practice Telephone | 3522744307 |
Enumeration Date | 2009-04-18 |
Last Update Date | 2009-04-18 |
Authorized Official Name | ADAMASTOR A SANTOS (MANAGER) |
Authorized Official Telephone | 3522744307 |
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 |
Street Address |
17820 SE 109TH AVE STE 108 |
City | SUMMERFIELD |
State | FL |
Zip Code | 34491-8968 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104432467 | Rikki Lee Mccroskey | Nurse Practitioner | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2020-09-21 |
1750855649 | Annalee Santos Russ | Physician Assistant | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2019-01-14 |
1770026924 | Francisca Perdomo Gonzalez | Nurse Practitioner | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491 | 2016-11-21 |
1588021083 | Ashley Noreen Hilger | Emergency Medicine | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2016-01-28 |
1801268529 | Melinda Diann Rogers | Nurse Practitioner | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2015-10-21 |
1821467663 | Amanda Ansbaugh | Physician Assistant | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2015-09-23 |
1255769758 | Leon Martin Bard | Physician Assistant | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2013-10-18 |
1114160272 | John Antonio Santos | Nurse Practitioner | 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | 2009-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194282947 | Marlen D Ohair | Religious Nonmedical Nursing Personnel | 3424 Se 14th Pl, Summerfield, FL 34491 | 2019-02-28 |
1992262851 | Arms of Jesus | Adult Companion | 3424 Se 146th Pl, Summerfield, FL 34491 | 2019-02-27 |
1396230504 | Ashley Ellis Davis | Nurse Practitioner | 17823 Se 109th Ave, Suite 108, Summerfield, FL 34491 | 2018-06-29 |
1215429220 | Redeemed Hearts Inc | In Home Supportive Care | 14380 Se 61 Ave, Summerfield, FL 34491 | 2018-06-05 |
1336649649 | Michelle Wojciechowski | Nurse Practitioner | 15061 Se 103rd Ave, Summerfield, FL 34491 | 2018-02-14 |
1710406228 | Sasha Saidi | Pain Medicine | 16810 South Highway 441, Suite 502, Summerfield, FL 34491 | 2017-09-15 |
1598282915 | Acupuncture Wellness LLC | Acupuncturist | 15151 S. Hwy 441, Suite 100, Summerfield, FL 34491 | 2017-08-25 |
1699137489 | Lindsey Mckay | Registered Nurse | 14510 Se 91 St Terrace, Summerfield, FL 34491 | 2016-03-22 |
1295114791 | Michael Anthony Shamat | Chiropractor | 15151 Hwy 441, Summerfield, FL 34491 | 2015-05-29 |
1952711038 | John Wiley | Occupational Therapist | 15600 S. U.S. Hwy 441, B, Summerfield, FL 34491 | 2014-04-29 |
Find all providers in zip 34491 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821579939 | Exceptional Urgent Care & The Rizalinda Wellness Center | Clinic/Center | 17350 Se 109th Terrace Rd Unit 5, Summerfield, FL 34491-8924 | 2018-08-27 |
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Find all providers with the same taxonomy |
City | SUMMERFIELD |
Zip Code | 34491 |
Please comment or provide details below to improve the information on 441 URGENT CARE CENTER, 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.