Organization
MEDFAST URGENT CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN STEVENS (BILLING DIRECTOR)
(321) 751-7222
Entity
Organization
Contact information
Practice address
5500 STADIUM PARKWAY, MELBOURNE, FL 32940
(321) 633-3278
Mailing address
390 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-3456
(321) 633-3162
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0S6588
LICENSE
—
Enumeration date
11/20/2019
Last updated
12/16/2019
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