Organization Name: | PARAMOUNT URGENT CARE INC |
NPI Number: | 1003288440 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARIAN EASTERLING (CO-OWNER) |
Mailing Address: | 805 E County Road 466 Lady Lake |
State: | FL US |
Postal Code: | 321594205 |
Phone Number: | 3526749218 |
Fax Number: | 3522596069 |
NPI Enumeration Date: | 10/26/2015 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | PA9104065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |