Florida Immediate Care Centers LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FLORIDA IMMEDIATE CARE CENTERS LLC

Practice address

128 NW 137TH Dr
Newberry, FL 32669-0000

Phone

(352) 258-4452

Fax

(352) 258-0088

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Paul Carlton

Title

Managing Partner

Phone

(352) 258-4452

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1295048270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320540567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NW 137TH DR",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326690000",
            "telephone_number": "352-258-4452",
            "fax_number": "352-258-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA IMMEDIATE CARE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "352-258-4452"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Ellison, PHARMD
• Crista L. Everett, MED, MA, RMHCI
• Kristin Marshall Fajer
• Paula Ferrone, LMHC
• Florida Clinical Practice Association Inc
• Florida Immediate Care Centers LLC
• Fremont Peak Emergency Physicians LLC
• Adreana Marlene Gaines
• Briana Gabriella Gaines, PH.D., LPC
• Gainesville Emergency Medical Associates PA

• All providers in Newberry, FL
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.