Palm Coast Urgent Care

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PALM COAST URGENT CARE

Practice address

6388 Silver Star Rd Suite 1C
Orlando, FL 32818

Phone

(407) 250-4354

Fax

(407) 250-4354

NPI assigned

Sep 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jean Rodney, MD

Title

President

Phone

(407) 250-4354

Specialties & licenses 1

Addresses

Other names 1

• palm coast urgent care Former legal business name

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

{
    "created_epoch": "1535846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535846400000",
    "number": "1245712603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 SILVER STAR RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32836",
            "telephone_number": "407-250-4354",
            "fax_number": "407-250-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6388 SILVER STAR RD SUITE 1C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32818",
            "telephone_number": "407-250-4354",
            "fax_number": "407-250-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COAST URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-02",
        "last_updated": "2018-09-02",
        "status": "A",
        "authorized_official_last_name": "RODNEY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-250-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "palm coast urgent care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katheirne Kirchner Palceski, LCSW
• Robyn Palisoc, PT, DPT
• Shazma Palliagath, LMHC
• Palm Beach Pediatrics, LLC
• Palm Beach Pediatrics, LLC (Bluebird Kids Health)
• Palm Garden of Orlando LLC (Palm Garden of Orlando)
• Palm Medical Center Lakeland LLC (Palm Medical Centers)
• Palm Medical Center Lakeland LLC (Palm Medical Centers)
• Nicole Floyd Palm, PA-C
• Jonathan P Palma, MD

• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; 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.