# FLORIDA IMMEDIATE CARE CENTERS LLC

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

## Provider details

- **NPI number:** 1295048270
- **Authorized official:** PAUL CARLTON (MANAGING PARTNER)
- **Authorized official phone:** (352) 258-4452

## Contact information

- **Practice address:** 128 NW 137TH DR, NEWBERRY, FL 32669-0000
- **Practice address phone:** (352) 258-4452
- **Practice address fax:** (352) 258-0088
- **Mailing address:** PO BOX 567, LAKE BUTLER, FL 32054-0567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2010
- **Last updated:** 07/28/2010