Organization
URGENT FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO MENA (MANAGER)
(407) 915-2718
Entity
Organization
Contact information
Practice address
1130 S SEMORAN BLVD STE F, ORLANDO, FL 32807-1457
(407) 440-3605
(407) 440-3774
Mailing address
301 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4901
(407) 440-3605
(407) 440-3774
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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