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Organization
411 URGENT CARE LLC
Active
Organization
411 URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAMASTOR SANTOS PA (MEDICAL / OFFICER)
(352) 274-4307
Entity
Organization
Contact information
Practice address
17820 SE 109TH AVE STE 108, SUMMERFIELD, FL 34491-8968
(352) 547-9378
(352) 559-3939
Mailing address
17820 SE 109TH AVE STE 108, SUMMERFIELD, FL 34491-8968
(352) 547-9378
(352) 559-3939
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/05/2021
Last updated
08/26/2021
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