Abc Urgent Care, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

OS9767 Issued in FL

Legal business name

ABC URGENT CARE, LLC

Practice address

275 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3529

Phone

(321) 799-7777

Fax

(321) 799-1550

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Stuart Berk, MD

Title

Owner

Phone

(321) 799-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Todd Smith, MD

  • Emergency Medicine Physician
  • Ironton, OH
  • NPI 1124020490
  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1881868024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W COCOA BEACH CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313529",
            "telephone_number": "321-799-7777",
            "fax_number": "321-799-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W COCOA BEACH CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313529",
            "telephone_number": "321-799-7777",
            "fax_number": "321-799-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-799-7777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "OS9767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1205886991",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A1A Optics, Inc.
• Chris E Ahola
• Mueez Anwar, MD
• Armstrong Chiropractic Family Center, Inc.
• Orland Kay Armstrong III, D.C.
• Shandra Artura, LMT

• Preferred Provider Organization in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.