Physicians Immediate Care North, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

HCC7482 Issued in FL

Legal business name

PHYSICIANS IMMEDIATE CARE NORTH, LLC

Practice address

5550 S US Highway 1
Fort Pierce, FL 34982-8701

Phone

(772) 460-9227

Fax

(772) 460-9292

NPI assigned

Apr 3, 2015

Organization subpart

Yes

Parent organization

PHYSICIANS IMMEDIATE CARE, INCAs reported in NPPES

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

Authorized official

Name

Kenneth Palestrant, M.D.

Title

Ceo

Phone

(772) 343-1776

Specialties & licenses 1

Addresses

Part of

Physicians Immediate Ca

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1649665902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828701",
            "telephone_number": "772-460-9227",
            "fax_number": "772-460-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828701",
            "telephone_number": "772-460-9227",
            "fax_number": "772-460-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS IMMEDIATE CARE NORTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS IMMEDIATE CARE, INC",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "PALESTRANT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-343-1776",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "HCC7482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tangela Phillips
• Phoenix Anesthesia PLLC
• Phyllis McColister-Cunningham PA
• Phyllis McColister-Cunningham PA
• Physician'S Health and Wellness LLC
• Daniel Adam Picard, M.D.
• Pierce Cove LLC
• Arthur Pierre-Louis, M.D,
• Dorothy Pierre
• Gina Pierre, B.A.

• Urgent Care Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.