Organization Active NPI

Palmetto Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Palmetto, FL
National Provider Identifier
1831869452
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PALMETTO URGENT CARE, LLC
Practice address
4321 Hollow Stump Run
Palmetto, FL 34221-1250
Phone
(941) 212-7125
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Steven Favia, M.AT, LAT, ATCNPI 1124467246
Title
Owner
Phone
(941) 212-7125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4321 Hollow Stump Run
Palmetto, FL 34221-1250

Mailing address

4321 Hollow Stump Run
Palmetto, FL 34221-1250
Phone (941) 212-7125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1831869452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 HOLLOW STUMP RUN",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211250",
            "telephone_number": "941-212-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 HOLLOW STUMP RUN",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211250",
            "telephone_number": "941-212-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "FAVIA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-212-7125",
        "authorized_official_credential": "M.AT, LAT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.