# MERRITT ISLAND WALK-IN CLINIC LLC

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

## Provider details

- **NPI number:** 1265750400
- **Authorized official:** DR. RAJEE PAUL M.D. (MANGING MEMBER)
- **Authorized official phone:** (321) 452-9255

## Contact information

- **Practice address:** 1045 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4531
- **Practice address phone:** (321) 452-9255
- **Practice address fax:** (321) 452-5404
- **Mailing address:** 1045 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4531
- **Mailing address phone:** (321) 452-9255
- **Mailing address fax:** (321) 452-5404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME95111 | FL | — |
| 261QU0200X | Urgent Care Clinic/Center | ME95111 | FL | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 05/12/2010