| Organization Name: | DADE CITY URGENT CARE CENTER PLLC |
| NPI Number: | 1043543655 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YVETTE M SUAREZ (MEDICAL DIRECTOR) |
| Mailing Address: | 13933 17th St Dade City |
| State: | FL US |
| Postal Code: | 335254603 |
| Phone Number: | 3525672758 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 09/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |