411 Urgent Care Llc

LBN: 411 Urgent Care Llc
411 Urgent Care Llc is an health care organization with primary practice located at 17820 Se 109Th Ave Ste 108 , Summerfield FL 34491-8968. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. 411 Urgent Care Llc can be contacted via phone (352) 547-9378, or through Santos, Adamastor via phone (352) 274-4307.

Contact Information

Primary practice address
17820 Se 109Th Ave Ste 108 Summerfield FL 34491-8968
Phone: (352) 547-9378
Fax: (352) 559-3939
Website:
Map and Directions
Authorized official contact:
Name: Santos, Adamastor Physician Assistant (PA)
Phone: (352) 274-4307

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1699449462
LBN Legal business name 411 Urgent Care Llc
DBA Doing business as
Authorized official Santos, Adamastor Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2021
Last updated Aug 26th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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