# CRESTVIEW URGENT CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144458647
- **Authorized official:** CHARLES JOSEPH CLANCY PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (850) 398-8668

## Contact information

- **Practice address:** 1502 S FERDON BLVD, CRESTVIEW, FL 32536-8444
- **Practice address phone:** (850) 398-1079
- **Mailing address:** 1502 S FERDON BLVD, CRESTVIEW, FL 32536-8444
- **Mailing address phone:** (850) 398-8668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | ME93880 | FL | Yes |

## Other

- **Enumeration date:** 06/23/2009
- **Last updated:** 10/01/2026