Organization Active NPI

Emed Urgent Care LLC

Doing business as Emed Multispecialty Group

  • Urgent Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1700412004
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EMED URGENT CARE LLC
Doing business as
Emed Multispecialty Group
Practice address
2624 Atlantic Blvd Ste 4
Jacksonville, FL 32207-3633
Phone
(904) 513-3240
Fax
(904) 379-2911
NPI assigned
Mar 18, 2020
Last updated
Aug 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EMED URGENT AND PRIMARY CARE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Aurora Perez
Title
Credentialing Specialist
Phone
(904) 513-3240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

2624 Atlantic Blvd Ste 4
Jacksonville, FL 32207-3633

Mailing address

2624 Atlantic Blvd Ste 4
Jacksonville, FL 32207-3633
Phone (904) 513-3240

Other names 1

  • Emed Multispecialty Group Doing business as

National Provider Directory

National Provider Directory
Part of
Emed Urgent and Primary Care Inc

Locations

2624 Atlantic Blvd
Ste 4
Jacksonville, FL 32207
Phone (904) 424-7809

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1700412004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073633",
            "telephone_number": "904-513-3240",
            "fax_number": "904-379-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073633",
            "telephone_number": "904-513-3240",
            "fax_number": "904-379-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMED URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMED URGENT AND PRIMARY CARE PA",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "AURORA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "904-513-3240"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emed Multispecialty Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emed Multispecialty Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 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.