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Organization
NORTHWEST URGENT CARE
Active
Organization
NORTHWEST URGENT CARE
Active
Parent organization
NORTHWEST FAMILY HEALTH CENTER, LLC
Other names
Northwest Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST FAMILY HEALTH CENTER, LLC
Authorized official
DR. GARRY B ANTOINE MD (PRESIDENT & CEO)
(407) 768-5773
Entity
Organization
Contact information
Practice address
5840 N ORANGE BLOSSOM TRL, ORLANDO, FL 32810-1025
(407) 602-1100
(407) 219-4221
Mailing address
PO BOX 951306, LAKE MARY, FL 32795-1306
(407) 602-1100
(407) 219-4221
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
—
NULL
163WC0200X
Critical Care Medicine Registered Nurse
—
—
163WE0003X
Emergency Registered Nurse
—
NULL
163WE0003X
Emergency Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
2279C0205X
Critical Care Registered Respiratory Therapist
—
NULL
2279C0205X
Critical Care Registered Respiratory Therapist
—
—
2279E0002X
Emergency Care Registered Respiratory Therapist
—
NULL
2279E0002X
Emergency Care Registered Respiratory Therapist
—
—
2279E1000X
Educational Registered Respiratory Therapist
—
NULL
2279E1000X
Educational Registered Respiratory Therapist
—
—
2279G0305X
Geriatric Care Registered Respiratory Therapist
—
NULL
2279G0305X
Geriatric Care Registered Respiratory Therapist
—
—
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
—
NULL
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
NULL
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
—
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
NULL
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
—
2279P4000X
Patient Transport Registered Respiratory Therapist
—
NULL
2279P4000X
Patient Transport Registered Respiratory Therapist
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/29/2020
Last updated
10/16/2020
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