Fast Track Urgent Care Center | |
11969 Sheldon Rd Tampa FL 33626-3644 | |
(813) 925-1903 | |
(813) 749-8370 |
Full Name | Fast Track Urgent Care Center |
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Speciality | General Practice |
Location | 11969 Sheldon Rd, Tampa, Florida |
Authorized Official Name and Position | Daron G Diecidue (CEO) |
Authorized Official Contact | 8139251903 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fast Track Urgent Care Center Po Box 15490 Scottsdale AZ 85267-5490 Ph: (318) 424-4008 | Fast Track Urgent Care Center 11969 Sheldon Rd Tampa FL 33626-3644 Ph: (813) 925-1903 |
NPI Number | 1033247580 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 01/08/2021 |
Medicare PECOS PAC ID | 3678515947 |
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Medicare Enrollment ID | O20050526000273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033247580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Kimberly Lawus-scurry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669462677 PECOS PAC ID: 4486552882 Enrollment ID: I20031223000063 |
Provider Name | Blannie M Whelan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497794028 PECOS PAC ID: 2163405861 Enrollment ID: I20040612000027 |
Provider Name | Daron G Diecidue |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568456697 PECOS PAC ID: 4587647144 Enrollment ID: I20040612000537 |
Provider Name | Vu V. Dang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518913268 PECOS PAC ID: 7911976865 Enrollment ID: I20040928000986 |
Provider Name | Amber P Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881622389 PECOS PAC ID: 4183634546 Enrollment ID: I20060428000417 |
Provider Name | Nicole Frommann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821020389 PECOS PAC ID: 0941397038 Enrollment ID: I20071106000843 |
Provider Name | George Orman Brick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497738736 PECOS PAC ID: 8123208907 Enrollment ID: I20110210001027 |
Provider Name | Paul Kalra Nanda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760696199 PECOS PAC ID: 5890896435 Enrollment ID: I20131121000693 |
Provider Name | Heather C Greer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295159937 PECOS PAC ID: 1153545991 Enrollment ID: I20140617001159 |
Provider Name | Dallas F Valentine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962784116 PECOS PAC ID: 7810160512 Enrollment ID: I20150805009222 |
Provider Name | Shawn M Wallace |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326309501 PECOS PAC ID: 7113234618 Enrollment ID: I20150916000877 |
Provider Name | Nicole M Wilson Hall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235391483 PECOS PAC ID: 5496912974 Enrollment ID: I20150919000073 |
Provider Name | Derek Parkes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205246790 PECOS PAC ID: 4789987512 Enrollment ID: I20160128000107 |
Provider Name | Amar Talati |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457640039 PECOS PAC ID: 7012151608 Enrollment ID: I20160804000767 |
Provider Name | Jerome A Wehr |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275508855 PECOS PAC ID: 9931105368 Enrollment ID: I20161026002965 |
Provider Name | Aldo J Domenichini |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245224062 PECOS PAC ID: 7315170057 Enrollment ID: I20161202000255 |
Provider Name | Cheryl S Newcomb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265821771 PECOS PAC ID: 5698056950 Enrollment ID: I20161227002026 |
Provider Name | Bryant W Wilson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639501265 PECOS PAC ID: 1850670050 Enrollment ID: I20170120002171 |
Provider Name | Murilo Da Silveira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700320959 PECOS PAC ID: 5597040774 Enrollment ID: I20170330002281 |
Provider Name | Mark Sherberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770023277 PECOS PAC ID: 0345517140 Enrollment ID: I20170526001886 |
Provider Name | Nicole Marie Akers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114305083 PECOS PAC ID: 3173891397 Enrollment ID: I20170612002993 |
Provider Name | Camila Avila |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063899615 PECOS PAC ID: 4688967698 Enrollment ID: I20170612003019 |
Provider Name | Sabrina Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740709880 PECOS PAC ID: 0345508263 Enrollment ID: I20171226001990 |
Main St Medical Usa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11734 North Dale Mabry, Tampa, FL 33618 Phone: 813-968-6000 Fax: 813-968-6007 | |
Infante Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 N Armenia Ave, Suite 102, Tampa, FL 33603 Phone: 813-873-1725 Fax: 813-873-2924 | |
After Care Centers Of Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3424 W Kennedy Blvd, Tampa, FL 33609 Phone: 855-716-3342 | |
Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 | |
Sarroca Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3709 W Hamilton Ave, Unit 9., Tampa, FL 33614 Phone: 813-374-7608 Fax: 813-374-9124 | |
Simmons Medical Group South Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Harbour Place Dr Unit 2007, Tampa, FL 33602 Phone: 248-321-6612 Fax: 813-964-6337 | |
N/a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3225 S Macdill Ave Ste 129-313, Tampa, FL 33629 Phone: 813-200-8857 Fax: 813-200-1319 |