Merritt Island Walk-in Clinic LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

ME95111 Issued in FL

Legal business name

MERRITT ISLAND WALK-IN CLINIC LLC

Practice address

1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531

Phone

(321) 452-9255

Fax

(321) 452-5404

NPI assigned

May 12, 2010

Last updated

May 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajee Paul, M.D.NPI 1336133156

Title

Manging Member

Phone

(321) 452-9255

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajee Paul, M.D.

  • Family Medicine Physician
  • Merritt Island, FL
  • NPI 1336133156
  Authorized official Same address or phone

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1265750400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534531",
            "telephone_number": "321-452-9255",
            "fax_number": "321-452-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534531",
            "telephone_number": "321-452-9255",
            "fax_number": "321-452-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT ISLAND WALK-IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "RAJEE",
        "authorized_official_title_or_position": "MANGING MEMBER",
        "authorized_official_telephone_number": "321-452-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95111",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME95111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merritt Island Pharmacy
• Merritt Island Pharmacy (Merritt Island Discount Pharmacy)
• Merritt Island Rehab LLC (The Health Center of Merritt Island)
• Merritt Island RHF Housing, Inc (Courtenay Springs Village)
• Merritt Island Walk in Clinic LLC (Merritt Island Walk In Clinic Family Medicine)
• Donald Peter Messersmith, MD
• Mi SNF Opco LLC (The Terrace at Courtenay Springs)
• Michael James Mijon, M.A.
• Milarn Corporation (Arnold Primary Care)
• Mary Claire Milburn, DPT

• Urgent Care Clinic/Center in Merritt Island, FL
• Providers in Merritt Island, 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 May 12, 2010; 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.