Organization Active NPI

Intercoastal Urgent Care Associates PL

  • Urgent Care Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1376853663
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
INTERCOASTAL URGENT CARE ASSOCIATES PL
Practice address
1530 4TH St N
St Petersburg, FL 33704-4412
Phone
(727) 821-8700
Fax
(727) 821-8770
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Mr. Gary L Steadman
Title
President
Phone
(941) 504-2025

Specialties & licenses 1

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

Addresses

Primary practice location

1530 4TH St N
St Petersburg, FL 33704-4412

Mailing address

1530 4TH St N
St Petersburg, FL 33704-4412
Phone (727) 821-8700

Other names 3

  • AFC Urgent Care Doing business as
  • American Family Care Doing business as
  • Doctors Express Doing business as

National Provider Directory

National Provider Directory

Locations

1530 4th St N
St Petersburg, FL 33704
Phone (727) 821-8700

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1376853663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044412",
            "telephone_number": "727-821-8700",
            "fax_number": "727-821-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044412",
            "telephone_number": "727-821-8700",
            "fax_number": "727-821-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCOASTAL URGENT CARE ASSOCIATES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "STEADMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-504-2025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.