| Organization Name: | URGENT CARE OF LONGWOOD |
| NPI Number: | 1083001564 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA ROWELL (ADMINISTRATOR) |
| Mailing Address: | 450 W State Road 434 Suite 1010 Longwood |
| State: | FL US |
| Postal Code: | 327505118 |
| Phone Number: | 4077678200 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2015 |
| NPI Last Update Date: | 04/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |