| Tgh Urgent Care Powered By Fast Track | |
|
16521 S Us Highway 301 Wimauma FL 33598-2032 | |
| (813) 925-1903 | |
| (813) 749-8370 |
| Full Name | Tgh Urgent Care Powered By Fast Track |
|---|---|
| Speciality | General Practice |
| Location | 16521 S Us Highway 301, Wimauma, Florida |
| Authorized Official Name and Position | Daron G. Diecidue (MEMBER MANAGER) |
| Authorized Official Contact | 8139251903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tgh Urgent Care Powered By Fast Track Po Box 15490 Scottsdale AZ 85267-5490 Ph: (318) 424-4008 | Tgh Urgent Care Powered By Fast Track 16521 S Us Highway 301 Wimauma FL 33598-2032 Ph: (813) 925-1903 |
| NPI Number | 1407413974 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 01/08/2021 |
| Medicare PECOS PAC ID | 7618235573 |
|---|---|
| Medicare Enrollment ID | O20191002001313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407413974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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