NPIMap

Organization Active NPI

North Florida Immediate Care Center Inc

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1730242017
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH FLORIDA IMMEDIATE CARE CENTER INC
Practice address
1130 NW 64TH Ter
Gainesville, FL 32605-4219
Phone
(352) 333-4700
Fax
(352) 333-6248
NPI assigned
Dec 18, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mickey Pickler
Title
Vice President
Phone
(352) 333-5242

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000296 FL Part B Supplier - Clinic/Group Practice 2264326925 Receives reassigned benefits from 11 practitioners
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory
Tax ID family
Immediate Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2660 SW 53rd Ln
Gainesville, FL 32608
Phone (352) 548-1000

1130 NW 64th Ter
Gainesville, FL 32605
Phone (352) 331-8384

6500 W Newberry Rd
Fl Skilled
Gainesville, FL 32605

6510 NW 9th Blvd
Ste 3
Gainesville, FL 32605
Phone (352) 333-5238

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1130 NW 64TH Ter
Gainesville, FL 32605-4219

Mailing address

1130 NW 64TH Ter
Gainesville, FL 32605-4219
Phone (352) 333-4700

Other names 1

NPPES NPI Registry
  • Gainesville Internal Medicine Physicians Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2008.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1730242017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054219",
            "telephone_number": "352-333-4700",
            "fax_number": "352-333-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054219",
            "telephone_number": "352-333-4700",
            "fax_number": "352-333-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA IMMEDIATE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-333-5242"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gainesville Internal Medicine Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.