Healthcare Provider Details

I. General information

NPI: 1528732658
Provider Name (Legal Business Name): GET WELL EXPRESS URGENT CARE & WALK IN CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 S STATE ROAD 434 STE 1049
ALTAMONTE SPRINGS FL
32714-3859
US

IV. Provider business mailing address

280 S STATE ROAD 434 STE 1049
ALTAMONTE SPRINGS FL
32714-3859
US

V. Phone/Fax

Practice location:
  • Phone: 813-717-7425
  • Fax:
Mailing address:
  • Phone: 813-717-7425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUNAID KHAN
Title or Position: OWNER
Credential: DC
Phone: 407-342-6325