Organization
ABC URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART BERK MD (OWNER)
(321) 799-7777
Entity
Organization
Contact information
Practice address
275 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3529
(321) 799-7777
(321) 799-1550
Mailing address
275 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3529
(321) 799-7777
(321) 799-1550
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
OS9767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205886991
NPI NUMBER
FL
Enumeration date
04/18/2008
Last updated
12/31/2008
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