Organization Active NPI

Palm Harbor/Oldsmar Urgent Care Corporation

  • Health Service Clinic/Center
  • Oldsmar, FL
National Provider Identifier
1639498744
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PALM HARBOR/OLDSMAR URGENT CARE CORPORATION
Practice address
3180 Curlew Rd
Oldsmar, FL 34677-2606
Phone
(727) 488-7484
NPI assigned
May 28, 2010
Last updated
May 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Ryszard Ignacy Kaszuba
Title
President
Phone
(727) 488-7484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

3180 Curlew Rd
Oldsmar, FL 34677-2606

Mailing address

1644 Lago Vista Blvd
Palm Harbor, FL 34685-3353
Phone (727) 488-7484

National Provider Directory

National Provider Directory

Locations

3180 Curlew Rd
Oldsmar, FL 34677
Phone (727) 488-7484

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1639498744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 LAGO VISTA BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853353",
            "telephone_number": "727-488-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 CURLEW RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772606",
            "telephone_number": "727-488-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR/OLDSMAR URGENT CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "KASZUBA",
        "authorized_official_first_name": "RYSZARD",
        "authorized_official_middle_name": "IGNACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-488-7484"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.