Healthcare Provider Details

I. General information

NPI: 1124083282
Provider Name (Legal Business Name): URGENT CARE CENTER OF GAINESVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 NW 43RD ST
GAINESVILLE FL
32606-4565
US

IV. Provider business mailing address

3925 NW 43RD ST
GAINESVILLE FL
32606-4565
US

V. Phone/Fax

Practice location:
  • Phone: 352-371-1777
  • Fax: 352-371-0298
Mailing address:
  • Phone: 352-371-1777
  • Fax: 352-371-0298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ROGELIO V PAMINTUAN
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: M.D.
Phone: 352-371-1777