| Organization Name: | OCEANSIDE URGENT CARE LLC |
| NPI Number: | 1194060202 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESA GOEBEL (OWNER) |
| Mailing Address: | 11786 Se Federal Hwy Suite B Hobe Sound |
| State: | FL US |
| Postal Code: | 334555303 |
| Phone Number: | 7725464215 |
| Fax Number: | 7725468741 |
| NPI Enumeration Date: | 11/29/2012 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | OS8519 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |