Medfast Urgent Care Centers, LLC
Organization Active NPI Urgent Care Clinic/Center · Palm Bay, FL
NPI 1467124271 · NPPES record last updated Sep 30, 2021
Key facts
- NPI
- 1467124271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- MEDFAST URGENT CARE CENTERS, LLC
- Practice address
- 820 Palm Bay Rd NE Ste 110
Palm Bay, FL 32905-6351 - Phone
- (321) 633-3278
- NPI assigned
- Sep 30, 2021
- Organization subpart
- No
Authorized official
- Name
- Marilyn Stevens
- Title
- Billing Director
- Phone
- (321) 821-4950
Corporate family (same tax ID) 19
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2240201 | Medfast Urgent Care Centers LLC | Certificate of waiver | Oct 17, 2027 |
National Provider Directory
- Tax ID family
- Medfast Urgent Care Centers LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
820 Palm Bay Rd NE Ste 110
Palm Bay, FL 32905-6351
Mailing address
390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-4852
Other providers in Palm Bay, FL
- Lenworth McLean
- Mecnb, LLC
- Mederi of Orange County, Inc.
- Medfast Urgent Care Centers, LLC
- Medfast Urgent Care Centers, LLC
- Medical Solutions
- Medical Technology Transfer Corporation
- Medical Technology Transfer Corporation
- Medicspot Healthcare LLC
- Medisource Solutions, LLC
All providers in Palm Bay, FL · Urgent Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.