Organization
MEDFAST URGENT CARE CENTERS, LLC
Active
Parent organization
MEDFAST URGENT CARE CENTERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDFAST URGENT CARE CENTERS, LLC
Authorized official
MARILYN STEVENS (DIRECTOR OF BILLING)
(321) 751-7222
Entity
Organization
Contact information
Practice address
1532 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6533
(321) 802-3311
Mailing address
PO BOX 859745, PORT SAINT LUCIE, FL 34985-9745
(321) 751-7222
(321) 751-6655
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101594900
—
FL
Enumeration date
01/21/2020
Last updated
06/17/2020
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