NPIMap

Organization Active NPI

Fast Track Urgent Care LLC

  • Urgent Care Clinic/Center
  • Davenport, FL
National Provider Identifier
1568087526
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FAST TRACK URGENT CARE LLC
Practice address
2400 North Blvd W Ste 1
Davenport, FL 33837-8980
Phone
(402) 720-4343
Fax
(863) 419-0025
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Naeem Z Ahmed, MD
Title
Chief Medical Officer
Phone
(402) 720-4343

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2400 North Blvd W Ste 1
Davenport, FL 33837-8980

Mailing address

2400 North Blvd W Ste 1
Davenport, FL 33837-8980
Phone (252) 469-3352

Other identifiers 1

IdentifierTypeStateIssuer
100924200MedicaidFL

Other names 1

  • FAST TRACK URGENT CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1568087526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NORTH BLVD W STE 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378980",
            "telephone_number": "252-469-3352",
            "fax_number": "863-419-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NORTH BLVD W STE 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378980",
            "telephone_number": "402-720-4343",
            "fax_number": "863-419-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRACK URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NAEEM",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "402-720-4343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100924200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAST TRACK URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAST TRACK URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.