# 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:** 1730405820
- **Legal business name:** MEDFAST URGENT CARE CENTERS, LLC
- **Authorized official:** DAVID T WILLIAMS DO (MANAGING MEMBER)
- **Authorized official phone:** (321) 633-8620

## Contact information

- **Practice address:** 5005 PORT ST JOHN PKWY, PORT ST JOHN, FL 32927-4305
- **Practice address phone:** (321) 751-7222
- **Practice address fax:** (321) 751-6655
- **Mailing address:** 7925 N WICKHAM RD, MELBOURNE, FL 32940-8211
- **Mailing address phone:** (321) 751-7222
- **Mailing address fax:** (321) 751-6655

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2010
- **Last updated:** 07/13/2021