Organization
DAIRY ROAD URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL LYNN LORENTE MD (PRESIDENT)
(321) 956-8224
Entity
Organization
Contact information
Practice address
2107 DAIRY RD, MELBOURNE, FL 32904-5209
(321) 956-8224
(321) 956-8225
Mailing address
PO BOX 120043, WEST MELBOURNE, FL 32912-0043
(321) 956-8224
(321) 956-8225
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
ME82880
FL
Other
Enumeration date
09/17/2009
Last updated
04/23/2016
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