Organization
PARAMOUNT URGENT CARE INC
Active
Other names
PARAMOUNT URGENT CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDREW HUMPHREY PA-C (CO-OWNER)
(352) 674-9218
Entity
Organization
Contact information
Practice address
805 E CR 466, LADY LAKE, FL 32159-0000
(352) 674-9218
(352) 259-6069
Mailing address
805 E CR 466, LADY LAKE, FL 32159-0000
(352) 674-9218
(352) 259-6069
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
ME81076
FL
261QU0200X
Urgent Care Clinic/Center
Primary
ME81076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061502100
—
FL
01
—
92811
BCBS
FL
01
—
98811R
MEDICARE UNSPECIFIC
FL
Enumeration date
06/18/2008
Last updated
08/29/2016
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