# MEDFAST URGENT CARE CENTER, LLC

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

## Provider details

- **NPI number:** 1164064200
- **Authorized official:** MARILYN STEVENS (BILLING DIRECTOR)
- **Authorized official phone:** (321) 821-4950

## Contact information

- **Practice address:** 1000 S RIDGEWOOD AVE, EDGEWATER, FL 32132-2333
- **Practice address phone:** (386) 220-8222
- **Practice address fax:** (386) 220-8233
- **Mailing address:** 390 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-3456
- **Mailing address phone:** (321) 633-3162

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2019
- **Last updated:** 06/17/2020