# MEDFAST URGENT CARE CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDFAST URGENT CARE CENTERS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417772666
- **Legal business name:** MEDFAST URGENT CARE CENTERS, LLC
- **Authorized official:** HOLLY J CASSANO (BILLING CODER)
- **Authorized official phone:** (844) 591-1998

## Contact information

- **Practice address:** 2330 N WICKHAM RD STE 12, MELBOURNE, FL 32935-8184
- **Practice address phone:** (321) 633-3278
- **Practice address fax:** (321) 684-7872
- **Mailing address:** 390 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-3456

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2024
- **Last updated:** 11/21/2024