Organization
MEDFAST URGENT CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAMS (CMO)
(321) 966-2646
Entity
Organization
Contact information
Practice address
2525 GARDEN ST, TITUSVILLE, FL 32796-2549
(321) 966-2646
Mailing address
390 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-3456
(321) 633-3162
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS6588
LICENSE
—
Enumeration date
05/27/2022
Last updated
01/23/2023
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