MEDFAST URGENT CARE CENTERS, LLC – NPI #1174262232
Clinic/Center

MEDFAST URGENT CARE CENTERS, LLC is an AHC clinic located in PORT ORANGE, FL. NPPES has assigned the NPI number 1174262232 to MEDFAST URGENT CARE CENTERS, LLC on May 27, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDFAST URGENT CARE CENTERS, LLC below.

NPI Profile for
MEDFAST URGENT CARE CENTERS, LLC

NPI Number
1174262232
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDFAST URGENT CARE CENTERS, LLC
Primary location
1400 DUNLAWTON AVE UNIT 1-A
PORT ORANGE, FL 32127-8952
Phone: (321) 633-3278 Fax:
Mailing address
390 N COURTENAY PKWY
MERRITT ISLAND, FL 32953-3456
Phone: (321) 633-3162 Fax:
Organization Subpart
No
Authorized Official
DAVID WILLIAMS
CMO
Phone: (321) 633-3162
Updated
Certification Date
May 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.