Healthcare Provider Details

I. General information

NPI: 1053189837
Provider Name (Legal Business Name): PRIMEHEALTH URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5660 FISHHAWK CROSSING BLVD
LITHIA FL
33547-5900
US

IV. Provider business mailing address

3018 53RD AVE E
BRADENTON FL
34203-4331
US

V. Phone/Fax

Practice location:
  • Phone: 813-328-6262
  • Fax:
Mailing address:
  • Phone:
  • 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: ALI TURNER
Title or Position: VP OF OPERATIONS
Credential:
Phone: 941-348-2760