Organization
CH AFFILIATES, LLC
Active
Other names
Prestige Urgent Care, Paramount Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE ELLIS HALL DHSC, PA-C (CO-OWNER/PA-C)
(843) 345-2168
Entity
Organization
Contact information
Practice address
5833 S GOLDENROD RD STE 5C&D, ORLANDO, FL 32822-8777
(843) 345-2168
Mailing address
5833 S GOLDENROD RD STE 5C&D, ORLANDO, FL 32822-8777
(407) 810-8777
(407) 658-0721
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107787700
—
FL
Enumeration date
06/25/2018
Last updated
09/14/2022
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