Healthcare Provider Details

I. General information

NPI: 1720918758
Provider Name (Legal Business Name): PROSPER URGENT CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 RIVERSIDE AVE UNIT 502
JACKSONVILLE FL
32202-4970
US

IV. Provider business mailing address

108 RIVERSIDE AVE UNIT 502
JACKSONVILLE FL
32202-4970
US

V. Phone/Fax

Practice location:
  • Phone: 812-582-0396
  • Fax:
Mailing address:
  • Phone: 812-582-0396
  • 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: MR. ALEX JAMES ROBERTS
Title or Position: OWNER/PHYSICIAN ASSOCIATE
Credential: PA-C
Phone: 812-582-0396