# MAITLAND AVENUE URGENT CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285812362
- **Authorized official:** SETH T JOHNSON D.O. (PRESIDENT)
- **Authorized official phone:** (321) 207-0002

## Contact information

- **Practice address:** 411 MAITLAND AVE STE 1002, ALTAMONTE SPRINGS, FL 32701-5448
- **Practice address phone:** (321) 207-0002
- **Practice address fax:** (321) 207-2003
- **Mailing address:** 411 MAITLAND AVE, SUITE 1002, ALTAMONTE SPRINGS, FL 32701-5448
- **Mailing address phone:** (321) 207-0002
- **Mailing address fax:** (321) 207-0003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | OS5330 | FL | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 02/13/2014