Organization
FAST TRACK URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLAYINKA OLASIMBO PHYSICIAN ASSISTANT (PRESIDENT / OWNER)
(443) 518-6574
Entity
Organization
Contact information
Practice address
1315 BRETON DRIVE, ELDERSBURG, MD 21784
(443) 518-6574
(866) 596-1084
Mailing address
1315 BRETON DR, ELDERSBURG, MD 21784-6137
(443) 518-6574
(866) 596-1084
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C0004696
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0004696
PA LICENSE
MD
Enumeration date
07/11/2014
Last updated
07/11/2014
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