Palm Bay Urgent Care PL

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PALM BAY URGENT CARE PL

Practice address

1155 Malabar Rd NE Ste 10
Palm Bay, FL 32907-3262

Phone

(321) 723-3627

Fax

(321) 723-1771

NPI assigned

Sep 8, 2007

Organization subpart

No

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

Authorized official

Name

Stanley F Dziedzic, DO

Title

Ceo

Phone

(212) 734-6621

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1891980389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MALABAR RD NE STE 10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073262",
            "telephone_number": "321-723-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MALABAR RD NE STE 10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073262",
            "telephone_number": "321-723-3627",
            "fax_number": "321-723-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BAY URGENT CARE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-08",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "DZIEDZIC",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palm Bay RX Pharmacy LLC
• Palm Breeze Dental PLLC
• Palm Quality Care Inc
• Erin E Palmer
• Sacajawea M Palmer
• Regina Charlene Palmeri

• Urgent Care Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, 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 Feb 2, 2024; 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.