| Organization Name: | BOARDWALK URGENT CARE |
| NPI Number: | 1265774756 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND D ADAMCIK (OWNER, MD) |
| Mailing Address: | 102 5th Ave Indialantic |
| State: | FL US |
| Postal Code: | 329033154 |
| Phone Number: | 3213272980 |
| Fax Number: | 3213272982 |
| NPI Enumeration Date: | 03/22/2013 |
| NPI Last Update Date: | 03/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | ME71737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |