Organization
PALM BAY URGENT CARE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY F DZIEDZIC DO (CEO)
(212) 734-6621
Entity
Organization
Contact information
Practice address
1155 MALABAR RD NE STE 10, PALM BAY, FL 32907-3262
(321) 723-3627
(321) 723-1771
Mailing address
1155 MALABAR RD NE STE 10, PALM BAY, FL 32907-3262
(321) 723-3627
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
09/08/2007
Last updated
02/02/2024
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