Organization
NICEVILLE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE CLANCY PA-C (MANAGING PARTNER)
(850) 515-1174
Entity
Organization
Contact information
Practice address
910 PALM BLVD S, NICEVILLE, FL 32578-2603
(850) 398-8077
Mailing address
910 PALM BLVD S, NICEVILLE, FL 32578-2603
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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