Organization
MED 360 URGENT CARE WINFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAROUK ANWARUL RAQUIB MD (OWNER)
(205) 487-4535
Entity
Organization
Contact information
Practice address
125 BOB LAWRENCE DRIVE, WINFIELD, AL 35594
(205) 487-4535
(205) 487-8875
Mailing address
PO BOX 1140, WINFIELD, AL 35594-1140
(205) 487-4535
(205) 487-8875
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032921
—
AL
Enumeration date
09/02/2021
Last updated
09/02/2021
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