# DAIRY ROAD URGENT CARE LLC

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

## Provider details

- **NPI number:** 1265765531
- **Authorized official:** DR. MIGUEL LYNN LORENTE MD (PRESIDENT)
- **Authorized official phone:** (321) 956-8224

## Contact information

- **Practice address:** 2107 DAIRY RD, MELBOURNE, FL 32904-5209
- **Practice address phone:** (321) 956-8224
- **Practice address fax:** (321) 956-8225
- **Mailing address:** PO BOX 120043, WEST MELBOURNE, FL 32912-0043
- **Mailing address phone:** (321) 956-8224
- **Mailing address fax:** (321) 956-8225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | ME82880 | FL | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 04/23/2016
