# MEDFAST URGENT CARE CENTER, LLC

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

## Provider details

- **NPI number:** 1962913681
- **Authorized official:** DAVID T WILLIAMS D.O. (OWNER)
- **Authorized official phone:** (321) 360-5577

## Contact information

- **Practice address:** 1840 SOUTH WASHINGTON AVE, TITUSVILLE, FL 32780
- **Practice address phone:** (321) 751-7222
- **Mailing address:** PO BOX 160961, ALTAMONTE SPRINGS, FL 32716-0961
- **Mailing address phone:** (321) 751-7222
- **Mailing address fax:** (321) 821-4955

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2017
- **Last updated:** 07/14/2021