Organization
PHYSICIANS IMMEDIATE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY DELOACH (PRACTICE MANAGER)
(772) 398-1588
Entity
Organization
Contact information
Practice address
1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
(772) 398-1588
(772) 398-1550
Mailing address
1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
(772) 398-1588
(772) 398-1550
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
HCC1152
FL
Other
Enumeration date
05/03/2007
Last updated
01/20/2009
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