MEDFAST URGENT CARE CENTER, LLC (NPI# 1972809275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972809275 |
| Entity Type | Organization |
| Organization Name | MEDFAST URGENT CARE CENTER, LLC |
| Practice Address |
275 W Cocoa Beach Cswy Cocoa Beach FL 32931-3529 |
| 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 | 2011-02-03 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | DAVID THOMAS WILLIAMS (MANAGING MEMBER) |
| Authorized Official Telephone | 3218907052 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDFAST URGENT CARE CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OS6588 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | OS6588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164064200 | Medfast Urgent Care Center, LLC | Clinic/Center | 1000 S Ridgewood Ave, Edgewater, FL 32132-2333 | 2019-10-10 |
| 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 |
| Street Address |
275 W COCOA BEACH CSWY |
| City | COCOA BEACH |
| State | FL |
| Zip Code | 32931-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881868024 | Abc Urgent Care, LLC | Preferred Provider Organization | 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | 2008-04-18 |
| 1730631177 | Kerri Lynn Connell | Emergency Medicine | 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | 2016-11-02 |
| 1376094037 | Allison Rinderknecht Wherry | Physician Assistant | 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | 2016-10-18 |
| 1275780389 | Deborah Faye Dean | Physician Assistant | 275 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3529 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275016 | Daniel Edgar Ferrier | Specialist/Technologist | 741 S Orlando Ave Apt B, Cocoa Beach, FL 32931 | 2018-02-13 |
| 1891206793 | Peace Club Inc. | Counselor | 1811 S. Orlando Avenue, Cocoa Beach, FL 32931 | 2017-10-18 |
| 1811384696 | Magnolia House Assisted Living Facility LLC | Assisted Living Facility | 103 Yacht Haven Drive, Cocoa Beach, FL 32931 | 2015-04-20 |
| 1801236807 | Muhammad Ishfaq | Internal Medicine | 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931 | 2013-07-05 |
| 1053658799 | Charles King | Pharmacist | 2067 North Atlantic Ave, Cocoa Beach, FL 32931 | 2013-01-15 |
| 1033464441 | Cori Megan Daniels | Nurse Practitioner | 1980 N. Atlantic Ave, Suite 627, Cocoa Beach, FL 32931 | 2012-07-23 |
| 1871850313 | Adel Tadros Fahmy | Obstetrics & Gynecology | 68 Country Club Road, Cocoa Beach, FL 32931 | 2012-04-23 |
| 1497021760 | Armstrong Chiropractic Family Center, Inc. | Clinic/Center | 1401 N. Atlantic Ave., Cocoa Beach, FL 32931 | 2012-03-30 |
| 1710261516 | Jill L Carey | Speech-Language Pathologist | 50 Country Club Rd, Cocoa Beach, FL 32931 | 2011-09-28 |
| 1700173416 | Barbara Greene | Registered Nurse | 26 West Point Drive, Cocoa Beach, FL 32931 | 2011-07-01 |
| Find all providers in zip 32931 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246334 | Urgent Care Centers of Brevard County LLC | Clinic/Center | 105 S Banana River Blvd, Cocoa Beach, FL 32931-5041 | 2020-02-05 |
| 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 | COCOA BEACH |
| Zip Code | 32931 |
Please comment or provide details below to improve the information on MEDFAST 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.