Organization Name: | MELBOURNE URGENT CARE, INC |
NPI Number: | 1285727081 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISHNA S VARA (OWNER) |
Mailing Address: | 395 S Wickham Rd W Melbourne |
State: | FL US |
Postal Code: | 329041123 |
Phone Number: | 3219539981 |
Fax Number: | 3219530219 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | ME88505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |