# MEDFAST URGENT CARE CENTERS, LLC

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

## Provider details

- **NPI number:** 1366710170
- **Authorized official:** DR. DAVID THOMAS WILLIAMS D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (321) 821-4950

## Contact information

- **Practice address:** 490 CENTRE LAKE DR NE, PALM BAY, FL 32907-1113
- **Practice address phone:** (321) 751-7222
- **Mailing address:** 490 CENTRE LAKE DR NE, PALM BAY, FL 32907-1113
- **Mailing address phone:** (321) 751-7222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | OS6588 | FL | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 07/13/2021