Organization
FAST TRACK URGENT CARE LLC
Active
Other names
FAST TRACK URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
NAEEM Z AHMED MD (CHIEF MEDICAL OFFICER)
(402) 720-4343
Entity
Organization
Contact information
Practice address
2400 NORTH BLVD W STE 1, DAVENPORT, FL 33837-8980
(402) 720-4343
(863) 419-0025
Mailing address
2400 NORTH BLVD W STE 1, DAVENPORT, FL 33837-8980
(252) 469-3352
(863) 419-0025
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100924200
—
FL
Enumeration date
06/15/2020
Last updated
07/02/2020
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