Organization Name: | ACCESS URGENT CARE LLC |
NPI Number: | 1639418015 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL HAGHIGHI (CO OWNER) |
Mailing Address: | 10440 Us 1 N Suite 101 St Augustine |
State: | FL US |
Postal Code: | 320958459 |
Phone Number: | 9045198895 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2013 |
NPI Last Update Date: | 08/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME85579 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |