Organization Name: | MEDIQUICK URGENT CARE CENTERS INC |
NPI Number: | 1053363036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANN SHAW (OFFICE MANAGER) |
Mailing Address: | 6 Office Park Dr Palm Coast |
State: | FL US |
Postal Code: | 321373808 |
Phone Number: | 3864476615 |
Fax Number: | 3864471266 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 06/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 800014401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |