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Organization

411 URGENT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAMASTOR SANTOS PA (MEDICAL / OFFICER)
(352) 274-4307
Entity
Organization

Contact information

Practice address
17820 SE 109TH AVE STE 108, SUMMERFIELD, FL 34491-8968
(352) 547-9378
(352) 559-3939
Mailing address
17820 SE 109TH AVE STE 108, SUMMERFIELD, FL 34491-8968
(352) 547-9378
(352) 559-3939

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
08/05/2021
Last updated
08/26/2021
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