Organization
URGENT CARE CENTER OF LONGWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASIM AHMAR MD (OWNER)
(407) 212-3000
Entity
Organization
Contact information
Practice address
450 W STATE ROAD 434 STE 1010, LONGWOOD, FL 32750-5187
(407) 212-3000
(407) 212-3001
Mailing address
450 W STATE ROAD 434 STE 1010, LONGWOOD, FL 32750-5187
(407) 212-3000
(407) 212-3001
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247855139
URGENT CARE-ACHA EXEMPT
FL
Enumeration date
07/27/2007
Last updated
08/12/2020
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