MEDFAST URGENT CARE CENTER, LLC – NPI #1972809275
Clinic/Center

MEDFAST URGENT CARE CENTER, LLC is an AHC clinic located in COCOA BEACH, FL. NPPES has assigned the NPI number 1972809275 to MEDFAST URGENT CARE CENTER, LLC on February 03, 2011. 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

The NPI profile was previously updated about 5 years ago on Jul 14, 2021. 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 CENTER, LLC below.

NPI Profile for
MEDFAST URGENT CARE CENTER, LLC

NPI Number
1972809275
Enumeration Date

(more than 15 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 CENTER, LLC
Primary location
275 W COCOA BEACH CSWY
COCOA BEACH, FL 32931-3529
Phone: (321) 751-7222 Fax: (321) 751-6655
Mailing address
PO BOX 160961
ALTAMONTE SPRINGS, FL 32716-0961
Phone: (321) 751-7222 Fax: (321) 751-6655
Organization Subpart
Yes - MEDFAST URGENT CARE CENTER, LLC is subpart of another organization.
Authorized Official
DAVID WILLIAMS
MANAGING MEMBER
Phone: (321) 799-7777
Updated
Certification Date
Jul 14, 2021

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.

Identifiers

Identifiers for MEDFAST URGENT CARE CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL LICENSEFLOS6588
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)		 FL OS6588

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.