| Organization Name: | OCEAN CITY FAMILY PRACTICE &URGENT CARE, P.C. |
| NPI Number: | 1134429061 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS B FIORETTI (OWNER) |
| Mailing Address: | 103 120th St Units Jkl Ocean City |
| State: | MD US |
| Postal Code: | 218426408 |
| Phone Number: | 4102509985 |
| Fax Number: | 4102509949 |
| NPI Enumeration Date: | 10/26/2010 |
| NPI Last Update Date: | 10/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | D0040836 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |