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NPI Code Detail

MEDICARE: PROSPER URGENT CARE, PLLC

MEDICARE: PROSPER URGENT CARE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1720918758
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROSPER URGENT CARE, PLLC
Provider Business Mailing Address
First Line : 108 RIVERSIDE AVE UNIT 502
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32202-4970
Country : US
Telephone Number : 812-582-0396
Fax Number :
Provider Business Practice Location Address
First Line : 108 RIVERSIDE AVE UNIT 502
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32202-4970
Country : US
Telephone Number : 812-582-0396
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICIAN ASSOCIATE
Name : MR. ALEX JAMES ROBERTS
Credential : PA-C
Telephone Number : 812-582-0396
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “PROSPER URGENT CARE, PLLC ” Practice Location

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