# PHYSICIANS IMMEDIATE CARE INC

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

## Provider details

- **NPI number:** 1295947323
- **Authorized official:** BECKY DELOACH (PRACTICE MANAGER)
- **Authorized official phone:** (772) 398-1588

## Contact information

- **Practice address:** 1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
- **Practice address phone:** (772) 398-1588
- **Practice address fax:** (772) 398-1550
- **Mailing address:** 1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
- **Mailing address phone:** (772) 398-1588
- **Mailing address fax:** (772) 398-1550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | HCC1152 | FL | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 01/20/2009