Organization
HCS ACUTE CARE CENTER LLC
Active
Other names
Aloma Urgent Care At Narcoossee Road
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUSUDHAN T. DOMMETI M.D. (CHIEF EXECUTIVE OFFICER)
(407) 215-6370
Entity
Organization
Contact information
Practice address
7252 NARCOOSSEE RD, SUITE 104, ORLANDO, FL 32822-5550
(407) 215-6370
(407) 937-2505
Mailing address
7252 NARCOOSSEE RD STE 104, SUITE 104, ORLANDO, FL 32822-5550
(407) 215-6370
(407) 937-2505
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B907U
BC/BS OF FLORIDA
FL
Enumeration date
11/02/2006
Last updated
05/06/2015
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