NPIMap

Organization Active NPI

Medfast Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Sebastian, FL
National Provider Identifier
1376421479
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDFAST URGENT CARE CENTERS, LLC
Practice address
13800 US Highway 1
Sebastian, FL 32958-3295
Phone
(321) 633-3162
NPI assigned
Aug 26, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
David WilliamsNPI 1760484034
Title
Cmo
Phone
(321) 890-7052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13800 US Highway 1
Sebastian, FL 32958-3295

Mailing address

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-4852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070514000442 FL Part B Supplier - Clinic/Group Practice 1052418837 Receives reassigned benefits from 115 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Bay, FL; Port St John, FL; Port Orange, FL; Rockledge, FL; Sebastian, FL; Titusville, FL; West Melbourne, FL; Merritt Island, FL…

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Medfast Urgent Care Centersllc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

7025 N Highway 1
Cocoa, FL 32927
Phone (321) 305-6965

1532 N Harbor City Blvd
Melbourne, FL 32935
Phone (321) 802-3311

2330 N Wickham Rd
Ste 12
Melbourne, FL 32935

5500 Stadium Pkwy
Ste 101
Melbourne, FL 32940
Phone (321) 306-5510

7925 N Wickham Rd
Ste A
Melbourne, FL 32940

7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711

1400 Dunlawton Ave
Unit 1A
Port Orange, FL 32127
Phone (386) 333-3016

1400 Rockledge Blvd
Rockledge, FL 32955
Phone (321) 735-8960

2525 Garden St
Titusville, FL 32796
Phone (321) 966-2646

2500 Minton Rd
West Melbourne, FL 32904

Practitioners & affiliated clinicians

Practitioners 106

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.

View all 106

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1376421479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533456",
            "telephone_number": "321-633-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583295",
            "telephone_number": "321-633-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFAST URGENT CARE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "321-890-7052"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.