URGENT CARE CENTERS OF BREVARD COUNTY LLC NPI 1295367290

NPI Information

NPI: 1295367290
Provider Name: URGENT CARE CENTERS OF BREVARD COUNTY LLC

Doing Business As: HEALTH FIRST ADVENTHEALTH CENTRA CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
2600 WESTHALL LN
MAITLAND, FL
ZIP 32751
Phone: (407) 200-2300
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URGENT CARE CENTERS OF BREVARD COUNTY LLC is an urgent care clinic center in Maitland, FL. URGENT CARE CENTERS OF BREVARD COUNTY LLC NPI is 1295367290. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health First Adventhealth Centra Care.

The provider's business location address is:

2600 WESTHALL LN
MAITLAND, FL
ZIP 32751-102
Phone: (407) 200-2300

The provider's authorized official is Scott C. Brady .
The authorized official title is President and has the following contact phone number (407) 200-2300.

The CLIA number assigned to this NPI record is 10D2279673 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2020 and was last updated on 4/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	208000000X	Pediatrics		No
3	363A00000X	Physician Assistant		No
4	363LF0000X	Nurse Practitioner	Family	No
5	261QU0200X	Clinic/Center	Urgent Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105815704	MEDICAID	FLORIDA
2	MQ224	OTHER	FLORIDA	MEDICARE
3	105815701	MEDICAID	FLORIDA
4	105815700	MEDICAID	FLORIDA
5	105815702	MEDICAID	FLORIDA
6	105815703	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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