Organization
HEATHROW URGENT CARE
Active
Other names
WINTER PARK URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE PHILLIPS D.O. (OWNER)
(407) 772-2273
Entity
Organization
Contact information
Practice address
118 W FAIRBANKS AVE, WINTER PARK, FL 32789-4327
(407) 772-2273
Mailing address
1125 TOWNPARK AVE, HEATHROW, FL 32746-4791
(407) 772-2273
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329964
WELLCARE, STAYWELL, HEALTHEASE
—
01
—
B916X
BCBS WINTER PARK
FL
Enumeration date
11/07/2008
Last updated
11/10/2008
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