# WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538349469
- **Authorized official:** DR. DAVID A KEEN MD (MANAGER)
- **Authorized official phone:** (850) 926-3140

## Contact information

- **Practice address:** 41 FELI WAY, CRAWFORDVILLE, FL 32327-2368
- **Practice address phone:** (850) 926-3140
- **Practice address fax:** (850) 926-3163
- **Mailing address:** 41 FELI WAY, CRAWFORDVILLE, FL 32327-2368
- **Mailing address phone:** (850) 926-3140
- **Mailing address fax:** (850) 926-3163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | CCN 10-3815 | FL | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 02/20/2014