Organization
MEDFAST URGENT CARE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAMS DO (MANAGING MEMBER)
(321) 751-7222
Entity
Organization
Contact information
Practice address
7925 N WICKHAM RD, MELBOURNE, FL 32940-8211
(321) 409-9443
Mailing address
7925 N WICKHAM RD, MELBOURNE, FL 32940-8211
(321) 751-7222
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OS6588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS6588
MEDICAL LICENSE
FL
Enumeration date
09/26/2006
Last updated
12/13/2023
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