Organization Name: | NTC URGENT CARE CENTERS,LLC |
NPI Number: | 1003816570 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES KENNETH SIMON (EXECUTIVE DIRECTOR) |
Mailing Address: | 1503 Sunrise Plaza Drive Clermont |
State: | FL US |
Postal Code: | 34714 |
Phone Number: | 3522433555 |
Fax Number: | 3523945563 |
NPI Enumeration Date: | 07/27/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | HCC6449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |