Organization
FLORIDA IMMEDIATE CARE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CARLTON (MANAGING PARTNER)
(352) 258-4452
Entity
Organization
Contact information
Practice address
128 NW 137TH DR, NEWBERRY, FL 32669-0000
(352) 258-4452
(352) 258-0088
Mailing address
PO BOX 567, LAKE BUTLER, FL 32054-0567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/28/2010
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