Florida Urgent & Family Care P a

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

ME102584 Issued in FL

Legal business name

FLORIDA URGENT & FAMILY CARE P A

Practice address

4400 E Highway 20
Ste 209
Niceville, FL 32578-8779

Phone

(850) 687-9863

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Eduardo L Gonzalez, MD

Title

Owner/Ceo

Phone

(205) 837-8317

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14694/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1205258910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5399",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325785399",
            "telephone_number": "850-687-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E HIGHWAY 20",
            "address_2": "STE 209",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788779",
            "telephone_number": "850-687-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA URGENT & FAMILY CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "205-837-8317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME102584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flat Top Inpatient Services LLC
• Shantie Fletcher, LMT
• Alisha L Florence, PA
• Florida Diagnostic Imaging Center (Blue Water Diagnostic Imaging)
• Florida Em-I Medical Services, PA
• FNP & Associates, PLLC (EasyCare Walk-in Clinic)
• Jay Foil
• Yazdel Fonseca-Dodd
• Forward Motion Physical Therapy LLC
• Thomas Michael Fox, D.O.

• Urgent Care Clinic/Center in Niceville, FL
• Providers in Niceville, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.