| Paramount Urgent Care Inc | |
|
805 E Cr 466 Lady Lake FL 32159-0000 | |
| (352) 674-9218 | |
| (352) 259-6069 |
| Full Name | Paramount Urgent Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 E Cr 466, Lady Lake, Florida |
| Authorized Official Name and Position | Michael Andrew Humphrey (CO-OWNER) |
| Authorized Official Contact | 3526749218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paramount Urgent Care Inc 805 E Cr 466 Lady Lake FL 32159-0000 Ph: (352) 674-9218 | Paramount Urgent Care Inc 805 E Cr 466 Lady Lake FL 32159-0000 Ph: (352) 674-9218 |
| NPI Number | 1891956397 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 08/29/2016 |
| Medicare PECOS PAC ID | 3072681600 |
|---|---|
| Medicare Enrollment ID | O20081008000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891956397 | NPI | - | NPPES |
| 061502100 | Medicaid | FL | |
| 98811R | Other | FL | MEDICARE UNSPECIFIC |
| 92811 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME81076 (Florida) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | ME81076 (Florida) | Primary |
| Provider Name | Don W Bovell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710931886 PECOS PAC ID: 3870596877 Enrollment ID: I20060824000127 |
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