Intergold LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

HCC7190 Issued in FL

Legal business name

INTERGOLD LLC

Doing business as

Indian River Walk In Clinic

Practice address

652 21St St
Vero Beach, FL 32960-0937

Phone

(772) 299-1092

Fax

(772) 978-1960

NPI assigned

Aug 8, 2006

Last updated

Dec 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James S Lobel

Title

Director

Phone

(561) 795-4565

Specialties & licenses 1

Addresses

Other names 1

• Indian River Walk In Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel J Calabrese, PA-C

  • Medical Physician Assistant
  • Merritt Island, FL
  • NPI 1265763916
  NPD
• Bruce DM White, MSPT

  • Physical Therapist
  • Royal Palm Beach, FL
  • NPI 1366541773
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1952311458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600937",
            "telephone_number": "772-299-1092",
            "fax_number": "772-978-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600937",
            "telephone_number": "772-299-1092",
            "fax_number": "772-978-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGOLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "LOBEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-795-4565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "HCC7190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian River Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, 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 Dec 19, 2012; 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.