| Organization Name: | FLORIDA URGENT & FAMILY CARE P A |
| NPI Number: | 1205258910 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDUARDO L GONZALEZ (OWNER/CEO) |
| Mailing Address: | 4400 E Highway 20 Ste 209 Niceville |
| State: | FL US |
| Postal Code: | 325788779 |
| Phone Number: | 8506879863 |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2014 |
| NPI Last Update Date: | 01/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | ME102584 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |