Organization Active NPI

Quicker Care Urgent Care

  • Urgent Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1497093454
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
QUICKER CARE URGENT CARE
Practice address
13770 Beach Blvd.
Unit # 4
Jacksonville, FL 32224
Phone
(904) 330-0525
Fax
(904) 647-9491
NPI assigned
Jan 27, 2013
Organization subpart
Yes
Parent organization
ANGEL KIDS PEDIATRICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mr. Ashraf Abu Affan, M.D.
Title
Medical Doctor
Phone
(904) 616-2772

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Point of Service 305S00000X ME99311 FL

Addresses

Primary practice location

13770 Beach Blvd.
Unit # 4
Jacksonville, FL 32224

Mailing address

13770 Beach Blvd.
Unit # 4
Jacksonville, FL 32224
Phone (904) 330-0525

Other identifiers 1

IdentifierTypeStateIssuer
108479MedicaidAL

National Provider Directory

National Provider Directory
Part of
Angel Kids PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1497093454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 BEACH BLVD.",
            "address_2": "UNIT # 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-330-0525",
            "fax_number": "904-647-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 BEACH BLVD.",
            "address_2": "UNIT # 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-330-0525",
            "fax_number": "904-647-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKER CARE URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGEL KIDS PEDIATRICS",
        "enumeration_date": "2013-01-27",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "AFFAN",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "ABU",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "904-616-2772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "ME99311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108479",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.