| 411 Urgent Care Llc | |
|
17820 Se 109th Ave Ste 108 Summerfield FL 34491-8968 | |
| (352) 547-9378 | |
| (352) 559-3939 |
| Full Name | 411 Urgent Care Llc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 17820 Se 109th Ave Ste 108, Summerfield, Florida |
| Authorized Official Name and Position | Adamastor Santos (MEDICAL / OFFICER) |
| Authorized Official Contact | 3522744307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 411 Urgent Care Llc 17820 Se 109th Ave Ste 108 Summerfield FL 34491-8968 Ph: (352) 547-9378 | 411 Urgent Care Llc 17820 Se 109th Ave Ste 108 Summerfield FL 34491-8968 Ph: (352) 547-9378 |
| NPI Number | 1699449462 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699449462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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