Organization
MID FLORIDA URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY NYANTEH MD,MPH,MSC,CRCP (PRESIDENT/OWNER)
(386) 837-5637
Entity
Organization
Contact information
Practice address
615 N CHARLES RICHARD BEALL BLVD, DEBARY, FL 32713-2266
(386) 837-5637
Mailing address
615 N CHARLES RICHARD BEALL BLVD, DEBARY, FL 32713-2266
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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