NPIMap

Organization Active NPI

Florida Urgent Care Center, LLC.

  • Urgent Care Clinic/Center
  • Plant City, FL
National Provider Identifier
1053065284
Registry record updated Apr 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FLORIDA URGENT CARE CENTER, LLC.
Practice address
1908 James L Redman Pkwy
Plant City, FL 33563-7101
Phone
(813) 717-7425
Fax
(813) 717-7239
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jorge Garcia, CREDENTIALING
Title
Credentialing Director
Phone
(305) 606-0337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1908 James L Redman Pkwy
Plant City, FL 33563-7101

Mailing address

6415 Lake Worth Rd Ste 302
Greenacres, FL 33463-2906
Phone (863) 270-9365

Other practice location 1

35894 US-27
Haines City, FL 33844
Phone (863) 270-9365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220218000429 FL Part B Supplier - Clinic/Group Practice 7012301922 Receives reassigned benefits from 3 practitioners
5 other NPIs on this enrollment
Practice locations: Haines City, FL; Hollywood, FL; Lake Worth, FL; Palm Beach Gardens, FL; Plant City, FL; Wellington, FL; West Palm Beach, FL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Florida Urgent Care Center LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682726400000",
    "number": "1053065284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD STE 302",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632906",
            "telephone_number": "863-270-9365",
            "fax_number": "863-270-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 JAMES L REDMAN PKWY",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637101",
            "telephone_number": "813-717-7425",
            "fax_number": "813-717-7239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35894 US-27",
            "address_purpose": "LOCATION",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "country_code": "US",
            "telephone_number": "863-270-9365",
            "fax_number": "863-270-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA URGENT CARE CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "305-606-0337",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.